Uchijima Y, Yoshida K, Hobo M, Hiraga S, Okada K
Hinyokika Kiyo. 1984 Jul;30(7):941-6.
Perineal testis is a very rare congenital anomaly. Since the first case of the disease reported by John Hunter in 1786, more than 113 cases have been reported in the English literature, and 13 cases have been reported in the Japanese literature. The 14th and 15th cases are presented herein. Case 1 was a 38-year-old man who came to our clinic with the chief complaint of discomfort of the perineum. Physical examination revealed emptiness of the left scrotal contents and there was a small hen's-egg growth mass corresponding to the normal testis at the left side of the perineum. Excretory urogram showed no abnormality. Orchiopexy to the left scrotum was performed. On surgical exploration the gubernaculum testis was found obviously fixed to the perineum. Histologic examination of the biopsied ectopic testis revealed mild hypospermatogenesis. Case 2 was a 2-year-old boy who was referred to our clinic with the chief complaint of emptiness of the right scrotal contents. Physical examination revealed a bean-sized mass corresponding to the normal testis at the right side of the perineum. Orchiopexy to the right scrotum was performed. On surgical exploration the gubernaculum testis was found to be fixed to the perineum.
会阴睾丸是一种非常罕见的先天性异常。自1786年约翰·亨特报告首例该病病例以来，英文文献中已报告113例以上，日文文献中报告了13例。本文报告第14例和第15例。病例1为一名38岁男性，因会阴不适为主诉前来我院就诊。体格检查发现左侧阴囊内容物空虚，在会阴左侧有一个与正常睾丸大小相当的鸡蛋样肿物。排泄性尿路造影未见异常。对左侧阴囊进行了睾丸固定术。手术探查发现睾丸引带明显固定于会阴。对活检的异位睾丸进行组织学检查显示轻度精子发生低下。病例2为一名2岁男孩，因右侧阴囊内容物空虚为主诉转诊至我院。体格检查发现会阴右侧有一个与正常睾丸大小相当的豆粒样肿物。对右侧阴囊进行了睾丸固定术。手术探查发现睾丸引带固定于会阴。
