Nistal M, Regadera J, Redondo E, Paniagua R
J Urol. 1985 Mar;133(3):481-2. doi: 10.1016/s0022-5347(17)49032-x.
We report on a 3-month-old infant with cystic intra-abdominal testicular torsion. He presented with abdominal distension and pain. Physical examination showed a movable, well delineated mass in the right iliac and lumbar fossae. Exploration revealed that the mass was connected to the abdominal aorta by a thin vascular cord that was twisted before reaching the mass. The histological study showed that the mass corresponded to a testis with cystic formations. The testicular parenchyma was necrotized, although isolated seminiferous tubules were found. The cystic cavities were filled by hematic and necrotic material, and exhibited no epithelial lining. A fibrous layer in continuity with interstitial hemorrhage surrounded the cysts. The twisted vascular cord corresponded to a spermatic cord with dilated pampiniform plexus veins. The differential diagnosis and the etiopathogenesis of the lesion are discussed.
我们报告一例3个月大的患有腹腔内囊性睾丸扭转的婴儿。他表现为腹胀和腹痛。体格检查发现右髂窝和腰窝有一个可移动、边界清晰的肿块。探查发现该肿块通过一条细血管索与腹主动脉相连，该血管索在到达肿块前发生了扭转。组织学研究表明，该肿块对应一个有囊性结构的睾丸。尽管发现了孤立的生精小管，但睾丸实质已坏死。囊腔内充满血液和坏死物质，无上皮衬里。囊肿周围有一层与间质出血连续的纤维层。扭转的血管索对应一条伴有扩张蔓状静脉丛静脉的精索。本文讨论了该病变的鉴别诊断和病因。
