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经股部区域的体外睾丸异位:阴囊裂的一种罕见变异型

Extracorporeal Testicular Ectopia through Femoral Region: A Rare Variant of Scrotoschisis.

作者信息

Bachala Keerthana, Dudhani Shreyas, Suman Bijay Kumar, Kumar Amit, Sinha Amit Kumar

机构信息

Department of Paediatric Surgery, AIIMS, Patna, Bihar, India.

出版信息

J Indian Assoc Pediatr Surg. 2024 Jan-Feb;29(1):69-71. doi: 10.4103/jiaps.jiaps_139_23. Epub 2024 Jan 12.

DOI:10.4103/jiaps.jiaps_139_23
PMID:38405255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10883166/
Abstract

A 2-year-old male child presented to us with absent left testis in scrotum since birth. Parents noted a pinkish white globular mass in medial aspect of left thigh. At the time of presentation (2 years old) he had a 2 x 2 cm, firm, subcutaneous swelling located on the medial aspect of the left thigh. Ultrasonography was suggestive of left ectopic testis of size 1 x 1.2cm in the femoral region. Orchidopexy was done. In our case the term scrotoschisis will not be appropriate as testicular extrusion has occurred through femoral region and not the scrotum. This can be considered as extracorporeal testicular ectopia or bubonoschisis, respective to the location of the defect. We are reporting a case of extra corporeal testicular ectopia through the femoral region for the first time.

摘要

一名2岁男童自出生起阴囊内左侧睾丸缺如,前来我院就诊。家长注意到左大腿内侧有一个粉白色球状肿物。就诊时(2岁),他左大腿内侧有一个2×2厘米、质地坚硬的皮下肿物。超声检查提示左侧异位睾丸位于股骨区域,大小为1×1.2厘米。遂进行了睾丸固定术。在我们这个病例中,阴囊裂开这个术语并不合适,因为睾丸是通过股骨区域而非阴囊挤出的。根据缺损的位置,这可被视为体外睾丸异位或腹股沟阴囊裂。我们首次报道了一例通过股骨区域的体外睾丸异位病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d67/10883166/5ce12c004a1e/JIAPS-29-69-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d67/10883166/f63419369765/JIAPS-29-69-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d67/10883166/5ce12c004a1e/JIAPS-29-69-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d67/10883166/f63419369765/JIAPS-29-69-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d67/10883166/5ce12c004a1e/JIAPS-29-69-g002.jpg

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本文引用的文献

1
Scrotoschisis: a case report.阴囊裂:一例病例报告。
J Med Case Rep. 2017 Sep 13;11(1):259. doi: 10.1186/s13256-017-1427-8.
2
Scrotoschisis: A rare cause of acute scrotum in neonates.阴囊裂:新生儿急性阴囊的罕见病因。
Indian J Urol. 2015 Jul-Sep;31(3):262-3. doi: 10.4103/0970-1591.156923.
3
Extracorporeal Testicular Ectopia through Inguinal Canal: A Case Report.经腹股沟管的体外睾丸异位:一例报告
J Neonatal Surg. 2013 Jan 1;2(1):10. eCollection 2013 Jan-Mar.
4
Scrotoshisis, bilateral extra-corporeal testicular ectopia and testicular torsion.
Pediatr Surg Int. 2003 Aug;19(6):497-8. doi: 10.1007/s00383-002-0941-x. Epub 2003 Jul 18.
5
Testicular extrusion due to scrotoschisis.阴囊裂导致睾丸脱出。
Urology. 2002 Dec;60(6):1112. doi: 10.1016/s0090-4295(02)02003-4.
6
Scrotoschisis associated with contralateral meconium periorchitis.阴囊裂伴对侧胎粪性睾丸周炎。
J Pediatr Surg. 1997 Jun;32(6):864-6. doi: 10.1016/s0022-3468(97)90637-0.