Boles E T, Lobe T E, Hamoudi A
J Pediatr Surg. 1978 Feb;13(1):41-6. doi: 10.1016/s0022-3468(78)80210-3.
Congenital drainage of the vas deferens into a ureter permits retrograde passage of urine through the vas to the epididymis. If this anomaly is accompanied by urinary tract pathology with vesicoureteral reflux, hydroureter, stasis, and infection, the passage of urine into the vas can very well lead to epididymitis of a chronic or recurring nature and secondary scrotal abscesses. Two cases of this rare anomalous connection are presented in which such scrotal infections occurred. The diagnosis should be suspected on clinical grounds and can be confirmed by cystograms in which the dye refluxes up the ureter and passes into the vas. The association of rectal anomalies is of embryologic significance and may be additionally important clinically by further suggesting the possibility of the ureteral-vas anomaly.
先天性输精管引流至输尿管可使尿液经输精管逆行至附睾。如果这种异常伴有膀胱输尿管反流、输尿管积水、尿液淤积和感染等泌尿系统病变，尿液进入输精管很可能导致慢性或复发性附睾炎及继发性阴囊脓肿。本文报告两例这种罕见的异常连接病例，其中发生了此类阴囊感染。临床应怀疑该诊断，可通过膀胱造影证实，造影时染料沿输尿管反流并进入输精管。直肠异常的关联具有胚胎学意义，临床上可能因进一步提示输尿管-输精管异常的可能性而具有额外的重要性。
