Schultz K E, Walker J
Ann Emerg Med. 1984 Jul;13(7):567-9. doi: 10.1016/s0196-0644(84)80535-1.
A 17-year-old boy with spastic quadriplegia presented with a progressively enlarging, tender, right inguinal mass. Examination revealed absence of both testicles in the scrotal sac. The left testicle was palpable in the left superficial inguinal pouch. A diagnosis of an undescended right testicle was confirmed by exploratory surgery. Orchidectomy of the right testicle was performed and the remainder of the patient's course was uneventful. We present this case to describe the relationship between cryptorchidism, testicular torsion, and neuromuscular disease. Specific emphasis is placed on incidence, pathophysiological mechanisms, and treatment of testicular torsion in cryptorchidism.
一名患有痉挛性四肢瘫痪的17岁男孩出现右侧腹股沟肿物，肿物逐渐增大且触痛。检查发现阴囊内双侧睾丸均缺如。左侧睾丸可在左侧腹股沟浅环处触及。经探查手术确诊为右侧隐睾。遂行右侧睾丸切除术，患者术后恢复顺利。我们报告此病例以描述隐睾、睾丸扭转和神经肌肉疾病之间的关系。特别强调隐睾症中睾丸扭转的发生率、病理生理机制及治疗。
