Merrot T, Alessandrini P
Unités de Chirurgie Viscérale Infantile, CHU Nord, Marseille, France.
Prog Urol. 1996 Aug-Sep;6(4):582-6.
We report a case of bilateral persistence of the common mesonephric duct in a child. This anomaly is an error of implantation of the vas deferens in the distal part of the Wolffian duct. This abnormality is extremely rare (6 cases have been reported in the world literature). The diagnosis is usually incidental during laparotomy or on retrograde cystography (vesico-ureteric and vesico-deferential reflux). It is simple to treat: bilateral deferential ligation in view of the context of multiple malformations, in order to prevent ascending genital infections (prostatitis, epididymitis, testicular abscess). Only one case has been reported in adults, presenting in the form of a septic complication. This diagnosis must be considered in a context of atypical urogenital infection in a subject with other congenital abnormalities.
我们报告一例儿童双侧中肾管持续存在的病例。这种异常是输精管在中肾管远端植入错误。这种异常极为罕见（世界文献中仅报道过6例）。诊断通常在剖腹手术时偶然发现，或在逆行膀胱造影（膀胱输尿管反流和膀胱输精管反流）时发现。治疗方法简单：鉴于存在多种畸形的情况，进行双侧输精管结扎，以预防上行性生殖系统感染（前列腺炎、附睾炎、睾丸脓肿）。仅1例成人病例报道，表现为败血症并发症。在患有其他先天性异常的患者出现非典型泌尿生殖系统感染的情况下，必须考虑这种诊断。
