Lee Ashley, Low Ronny, McCombie Steve, Hayne Dickon
South Metropolitan Health Service, 11 Robin Warren Drive, Murdoch, 6150, Perth, Western Australia, Australia.
University of Western Australia Medical School, Crawley, Western Australia, Australia.
Urol Case Rep. 2025 Feb 3;59:102972. doi: 10.1016/j.eucr.2025.102972. eCollection 2025 Mar.
This case study explores massive tubular ectasia of the rete testes in a patient with Marfan syndrome. Marfan syndrome is a connective tissue disorder and has no known association with tubular ectasia in published research. Despite the unclear pathophysiology of tubular ectasia, potential causes include mechanical obstruction and congenital deformity. The patient, a male in his 40s, presented with bilateral testicular pain and swelling up to a volume of 200 cc over two years. Tubular ectasia was diagnosed on ultrasound and MRI, no obstructive aetiology was identified. Initial conservative management was chosen, but further enlargement led to reconsideration of treatment options.
本病例研究探讨了一名马凡综合征患者的睾丸网巨大管状扩张。马凡综合征是一种结缔组织疾病，在已发表的研究中尚无与管状扩张相关的报道。尽管管状扩张的病理生理学尚不清楚，但潜在原因包括机械性梗阻和先天性畸形。该患者为40多岁男性，两年来双侧睾丸疼痛并肿大，体积达200立方厘米。经超声和磁共振成像诊断为管状扩张，未发现梗阻病因。最初选择了保守治疗，但进一步肿大促使重新考虑治疗方案。
