Huang Haoran, Liu Xiangxia, Li Zuoqing, Lin Junjie, Yang Hai, Xu Zhe
Department of Pediatric Surgery, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN, United States.
Front Pediatr. 2023 Feb 21;11:1015384. doi: 10.3389/fped.2023.1015384. eCollection 2023.
Ectopic scrotum (ES) is an extremely rare congenital scrotal malformation. Ectopic scrotum with VATER/VACTERL [vertebral defects (V), anal atresia or anorectal malformations (A), cardiac defects (C), tracheoesophageal fistula with or without esophageal atresia (TE), cardiac defects, renal malformations (R), and limb defects (L)] association is even rarer. There are no uniform guidelines for diagnosis and treatment.
We described a 2-year-5-month-old boy who has ectopic scrotum and penoscrotal transposition and reviewed relevant literature in this report. We performed laparoscopy exploration, rotation flap scrotoplasty, and orchiopexy and achieved a great result during the postoperative follow-up.
Combined with the previous literature, we made a summary to come up with a plan for the diagnosis and treatment of ectopic scrotum. Rotation flap scrotoplasty and orchiopexy are worthy of considering operative methods in treating ES. For penoscrotal transposition or VATER/VACTERL association, we can treat the diseases individually.
异位阴囊（ES）是一种极其罕见的先天性阴囊畸形。伴有VATER/VACTERL[脊柱缺陷（V）、肛门闭锁或肛门直肠畸形（A）、心脏缺陷（C）、伴有或不伴有食管闭锁的气管食管瘘（TE）、心脏缺陷、肾脏畸形（R）和肢体缺陷（L）]综合征的异位阴囊更为罕见。目前尚无统一的诊断和治疗指南。
我们在本报告中描述了一名2岁5个月大患有异位阴囊和阴茎阴囊转位的男孩，并回顾了相关文献。我们进行了腹腔镜探查、旋转皮瓣阴囊成形术和睾丸固定术，术后随访取得了良好效果。
结合既往文献，我们进行了总结，提出了异位阴囊的诊断和治疗方案。旋转皮瓣阴囊成形术和睾丸固定术是治疗ES值得考虑的手术方法。对于阴茎阴囊转位或VATER/VACTERL综合征，我们可以分别治疗这些疾病。
