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在伴有膀胱嵌顿的腹股沟疝修补术中偶然发现重复输精管。

Incidental Duplicate Vas Deferens Discovered During Inguinal Hernia Repair With Incarcerated Bladder.

作者信息

Jindani Rajika, Kassam Farzaan, Loloi Justin, Watts Kara, Smith Vance

机构信息

Department of Surgery, Montefiore Medical Center, Bronx, USA.

Department of Urology, Montefiore Medical Center, Bronx, USA.

出版信息

Cureus. 2024 Jul 23;16(7):e65167. doi: 10.7759/cureus.65167. eCollection 2024 Jul.

Abstract

Duplication of the vas deferens is a rare congenital anomaly that has been encountered during inguinal hernia repair, orchidopexy, varicocelectomy, vasectomy, and radical prostatectomy. Identification of the duplicated vas deferens is crucial intraoperatively to avoid iatrogenic injury to the structure and the risks that come with failure to correctly distinguish the structure. We report a case of duplicated vas deferens and incarcerated urinary bladder during a laparoscopic converted to open left direct inguinal hernia repair.

摘要

输精管重复是一种罕见的先天性异常,在腹股沟疝修补术、睾丸固定术、精索静脉曲张切除术、输精管切除术和根治性前列腺切除术中均有发现。术中识别重复的输精管对于避免医源性损伤该结构以及未能正确区分该结构所带来的风险至关重要。我们报告一例在腹腔镜转为开放的左侧腹股沟直疝修补术中发现输精管重复并伴有膀胱嵌顿的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82ae/11339632/7c64e5f30b7f/cureus-0016-00000065167-i01.jpg

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