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睾丸位于何处?超声及诊断性腹腔镜在交叉异位睾丸(CTE)中的作用:病例报告及文献综述

Where is the testis? The role of ultrasound and diagnostic laparoscopy for Crossed Testicular Ectopia (CTE): Case report and review of literature.

作者信息

Spicchiale Claudia Fede, Collura Giuseppe, Mendes Ludy Lopes, Mele Ermelinda, Del Prete Laura, Innocenzi Michele, Zarfati Angelo, Castagnetti Marco

出版信息

Ann Ital Chir. 2023;94:400-403.

PMID:37794801
Abstract

Crossed Testicular Ectopia (CTE) or transverse testicular ectopia is an anecdotic urogenital anomaly in which both testes are located on the same side, generally associated with a patent processus vaginalis (PPV). The condition can be detected by ultrasound. Nevertheless, the diagnosis is often missed preoperatively and CTE is recognized intraoperatively. Controversy exists regarding management and the role of diagnostic laparoscopy. The surgical technique depends on the anatomy of vas, vessels and testis found on surgical exploration. Diagnostic laparoscopy can be useful to rule out a vanishing testis and detect Müllerian remnants. We present the case of 8-months infant with no palpable testis on the right side and no signs of inguinal hernia, reporting the management and reviewing the scarce existing literature in this regarding. KEY WORDS: Crossed Testicular Ectopia, Laparoscopy, Ectopia, Testis, Transverse Testicular Ectopia, Urogenital Abnormalities.

摘要

交叉性睾丸异位(CTE)或横向睾丸异位是一种罕见的泌尿生殖系统异常,其中双侧睾丸位于同一侧,通常伴有鞘状突未闭(PPV)。这种情况可通过超声检测到。然而,术前诊断往往被漏诊,CTE常在术中才被发现。关于治疗管理和诊断性腹腔镜检查的作用存在争议。手术技术取决于手术探查中发现的输精管、血管和睾丸的解剖结构。诊断性腹腔镜检查有助于排除隐睾和检测苗勒管残余物。我们报告一例8个月大的婴儿,右侧睾丸未触及且无腹股沟疝体征,介绍其治疗管理并回顾这方面现存的少量文献。关键词:交叉性睾丸异位;腹腔镜检查;异位;睾丸;横向睾丸异位;泌尿生殖系统异常

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Where is the testis? The role of ultrasound and diagnostic laparoscopy for Crossed Testicular Ectopia (CTE): Case report and review of literature.睾丸位于何处?超声及诊断性腹腔镜在交叉异位睾丸(CTE)中的作用:病例报告及文献综述
Ann Ital Chir. 2023;94:400-403.
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Laparoscopic management of transverse testicular ectopia with spermatic cord fusion: a case report.腹腔镜治疗精索融合型睾丸横过异位:一例报告
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