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坏死性小肠结肠炎后因粘连导致的后天性腹腔内睾丸。

Acquired intra abdominal testis due to adhesions after necrotizing enterocolitis.

作者信息

Ademaj Isber, Jashari Hysni, Gjonbalaj Naser, Syla Arta

机构信息

University Clinical Center of Kosovo, Pediatric Surgery Clinic, Prishtina, Republic of Kosovo.

University Clinical Center Of Kosovo, Radiology Clinic, Prishtina, Republic of Kosovo.

出版信息

Urol Case Rep. 2023 Jun 3;49:102445. doi: 10.1016/j.eucr.2023.102445. eCollection 2023 Jul.

DOI:10.1016/j.eucr.2023.102445
PMID:37334263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10276248/
Abstract

Undescendent testis happens usually due to the stagnation during testicular descends. Stagnation of a testicle in the abdomen may be the target of adhesions with intestinal segments. Our case report a very rare variant of acquired intra-abdominal cryptorchidism due to adhesions after necrotizing enterocolitis. Newborn baby after NEC has a significant risk of developing intraperitoneal adhesions. In this report we will describe a case of previously palpable testis in the inguinal canal at neonatal age which was pulled inside the abdomen at seventh month of age through adhesions between test and the segment of sigmoid colon after NEC.

摘要

隐睾通常是由于睾丸下降过程中停滞所致。睾丸在腹部停滞可能成为与肠段粘连的靶点。我们的病例报告了一种非常罕见的后天性腹腔内隐睾变异型,其病因是坏死性小肠结肠炎后的粘连。坏死性小肠结肠炎后的新生儿发生腹腔内粘连的风险显著。在本报告中,我们将描述一例新生儿期腹股沟管内可触及睾丸的病例,该睾丸在7个月大时因坏死性小肠结肠炎后睾丸与乙状结肠段之间的粘连而被拉入腹腔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5feb/10276248/ffb85a2fc1a6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5feb/10276248/142babf1a1a9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5feb/10276248/4eb9f9991adf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5feb/10276248/ffb85a2fc1a6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5feb/10276248/142babf1a1a9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5feb/10276248/4eb9f9991adf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5feb/10276248/ffb85a2fc1a6/gr3.jpg

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本文引用的文献

1
Cryptorchidism as an obscure cause of adhesive small bowel obstruction in an adult, a case report.隐睾症作为成人粘连性小肠梗阻的一个隐匿病因:一例报告
Int J Surg Case Rep. 2021 Sep;86:106319. doi: 10.1016/j.ijscr.2021.106319. Epub 2021 Aug 18.
2
Small bowel obstruction caused by cryptorchidism in an adult.成人隐睾症所致小肠梗阻
Ann Surg Treat Res. 2017 Nov;93(5):281-283. doi: 10.4174/astr.2017.93.5.281. Epub 2017 Oct 27.
3
Genetic, Maternal, and Environmental Risk Factors for Cryptorchidism: An Update.隐睾症的遗传、母体和环境风险因素:最新进展
Eur J Pediatr Surg. 2016 Oct;26(5):399-408. doi: 10.1055/s-0036-1592416. Epub 2016 Sep 19.
4
Evaluation and treatment of cryptorchidism: AUA guideline.隐睾症的评估和治疗:AUA 指南。
J Urol. 2014 Aug;192(2):337-45. doi: 10.1016/j.juro.2014.05.005. Epub 2014 May 20.
5
Perioperative surgical findings in congenital and acquired undescended testis.先天性和获得性隐睾症的围手术期外科发现。
J Pediatr Surg. 2010 Sep;45(9):1874-81. doi: 10.1016/j.jpedsurg.2010.02.121.