Chen Jie, Guo Meng-Fu, Li Hui, Han Nuan, Hu Chuan-Bing, Sun Jin-Song, Zhang Chong-Fang, Su Lin
Department of Clinical Medicine, Jining Medical University, Jining, Shandong 272013, P.R. China.
Department of Pediatric Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong 272029, P.R. China.
Exp Ther Med. 2023 May 29;26(1):348. doi: 10.3892/etm.2023.12047. eCollection 2023 Jul.
This paper mainly describes three cases of children with ectopic testis, of which two patients with transverse testicular ectopia (TTE) and one with perineal ectopic testis (PET). All patients who underwent orchidopexy at the same pediatric surgical unit in the Affiliated Hospital of Jining Medical University (Jining, China) between June 2010 and February 2021 were retrospectively evaluated (age range, 14-34 months). A total of two patients (67%) was admitted with asymptomatic unilateral inguinal masses and the contralateral testis missing; the first patient was diagnosed with TTE intraoperatively, whereas the other patient was diagnosed with TTE through physical examination and ultrasound preoperatively. The third patient (33%) was admitted with the right testis missing and a left perineal mass, which was confirmed using PET by physical and ultrasound examination before the operation. The first two patients underwent transseptal orchidopexy, whereas the third patient underwent simple orchidopexy. Postoperative complications were not observed (follow-up, 10-24 months). The low incidence and poor understanding of ectopic testis compels us to report our findings and further discuss this particular disease of testicular ectopia, including its pathogenesis, diagnostic and treatment options.
本文主要描述了3例小儿隐睾症病例,其中2例为睾丸横过异位(TTE),1例为会阴型隐睾(PET)。对2010年6月至2021年2月期间在济宁医学院附属医院(中国济宁)同一小儿外科接受睾丸固定术的所有患者进行回顾性评估(年龄范围为14 - 34个月)。共有2例患者(67%)因无症状的单侧腹股沟肿块及对侧睾丸缺如入院;首例患者术中诊断为TTE,而另一例患者术前通过体格检查和超声诊断为TTE。第3例患者(33%)因右侧睾丸缺如及左侧会阴肿块入院,术前通过体格检查和超声检查确诊为PET。前2例患者接受了经中隔睾丸固定术,而第3例患者接受了单纯睾丸固定术。未观察到术后并发症(随访10 - 24个月)。隐睾症的低发病率和对其认识不足促使我们报告我们的研究结果,并进一步讨论这种特殊的睾丸异位疾病,包括其发病机制、诊断和治疗选择。