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多睾症的诊断与管理:一例病例报告及文献综述

Diagnosis and Management of Polyorchidism: A Case Report and Literature Review.

作者信息

Kanbar Anthony, Dabal Charbel, El Khoury Joey, Halabi Rami, Assaf Serge, Mina Anthony, Breidi Sabine, Abdessater Maher, El Khoury Raghid

机构信息

School of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), P.O. Box 446, Jounieh, Lebanon.

Urology Department, Notre Dame des Secours University Hospital Center (CHUNDS), Byblos City, Lebanon.

出版信息

Case Rep Urol. 2023 Jun 22;2023:1620276. doi: 10.1155/2023/1620276. eCollection 2023.

DOI:10.1155/2023/1620276
PMID:37397169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10310454/
Abstract

Polyorchidism, or supernumerary testis, is a rare congenital abnormality of the genitourinary system. In this paper, we present the case of triorchidism in a seven-year-old asymptomatic child with a suspect left scrotal mass detected on routine physical examination. Imaging studies revealed a third testicle in the left hemiscrotum, with comparable dimensions, signal intensity on MRI, and Doppler flow on ultrasound with the ipsilateral testis. We also discuss the clinical presentations, classifications, and current diagnostic and therapeutic strategies of this condition.

摘要

多睾症,即额外睾丸,是一种罕见的泌尿生殖系统先天性异常。在本文中,我们报告了一例7岁无症状儿童的三睾症病例,该患儿在常规体格检查中发现左侧阴囊有可疑肿块。影像学检查显示左半阴囊内有第三个睾丸,其大小、MRI信号强度以及超声检查时与同侧睾丸的多普勒血流情况均相似。我们还讨论了该疾病的临床表现、分类以及当前的诊断和治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3adc/10310454/32873544a700/CRIU2023-1620276.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3adc/10310454/a6992c5ee75d/CRIU2023-1620276.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3adc/10310454/32873544a700/CRIU2023-1620276.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3adc/10310454/a6992c5ee75d/CRIU2023-1620276.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3adc/10310454/32873544a700/CRIU2023-1620276.002.jpg

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Int J Impot Res. 2024 May;36(3):177-180. doi: 10.1038/s41443-023-00696-3. Epub 2023 Apr 17.
2
Polyorchidism: An Up-to-Date Systematic Review.多睾症:最新系统评价
J Clin Med. 2023 Jan 13;12(2):649. doi: 10.3390/jcm12020649.
3
Polyorchidism in ultrasound examination: A case report.超声检查中的多睾症:一例报告。
额外睾丸(多睾症)。
Balkan Med J. 2025 Mar 3;42(2):168-169. doi: 10.4274/balkanmedj.galenos.2024.2024-10-81. Epub 2025 Jan 13.
4
A rare case of transverse testicular ectopia associated with polyorchidism addressed by minimally invasive surgery: A case report.微创外科治疗罕见的伴有多睾症的睾丸横过异位1例:病例报告
J Minim Access Surg. 2025 Jul 1;21(3):312-314. doi: 10.4103/jmas.jmas_30_24. Epub 2024 Oct 9.
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Incidental detection of three testes while evaluating an empty left scrotal sac: a case report.在评估左侧阴囊空虚时偶然发现三个睾丸:一例报告。
Ann Med Surg (Lond). 2024 Aug 30;86(10):6257-6260. doi: 10.1097/MS9.0000000000002510. eCollection 2024 Oct.
Andrologia. 2021 Feb;53(1):e13832. doi: 10.1111/and.13832. Epub 2020 Sep 8.
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Five testicles in the genital area of a thirteen-month-old baby: a case report.生殖器区有五个睾丸:一例报告。
BMC Urol. 2020 Aug 20;20(1):128. doi: 10.1186/s12894-020-00681-8.
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A case of triorchidism.
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