一例极为罕见的无阴茎合并马蹄肾及输尿管积水性肾积水病例报告。
An Extremely Rare Case Report of Aphallia with Horseshoe Kidney and Ureterohydronephrosis.
作者信息
Daniel Tigabu, Abera Yonas
机构信息
Surgery Department, Hawassa University, Hawassa, Ethiopia.
Surgery Department, Ethiopian Defense University, Addis Ababa, Ethiopia.
出版信息
Int Med Case Rep J. 2023 Nov 23;16:779-781. doi: 10.2147/IMCRJ.S441943. eCollection 2023.
BACKGROUND
Aphallia (absent penis) is an extremely rare congenital anomaly happening in 1 in 30 million births worldwide. It can occur alone or in combination with other congenital anomalies.
CASE PRESENTATION
A two-day-old neonate presented to Arba Minch General Hospital with an absent penis. The delivery was performed at home by a 34-year-old primigravida mother with no antenatal follow-up. As the mother described, the baby cried immediately after birth. The baby was sucking initially but failed to suck hours after delivery. The neonate died of neonatal distress syndrome after two hours of resuscitation.
CONCLUSION
Aphallia is a complex, extremely rare congenital anomaly that is commonly associated with other congenital anomalies. Sometimes, it may be associated with a lethal anomaly and requires sophisticated workup to diagnose and treat grave anomalies early.
背景
无阴茎（阴茎缺如）是一种极其罕见的先天性畸形，全球每3000万例出生中会出现1例。它可单独发生或与其他先天性畸形合并出现。
病例报告
一名两天大的新生儿因阴茎缺如被送至阿尔巴明奇综合医院。分娩由一名34岁初产妇在家中进行，未进行产前检查。据母亲描述，婴儿出生后立即啼哭。婴儿最初有吸吮动作，但分娩数小时后无法吸吮。经两小时复苏后，该新生儿死于新生儿窘迫综合征。
结论
无阴茎是一种复杂、极其罕见的先天性畸形，通常与其他先天性畸形相关。有时，它可能与致命性畸形相关，需要进行复杂检查以早期诊断和治疗严重畸形。
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