Rabii R, Rais H, Hafiani M, Dassouli B E, Bennani S, el Mrini M, Benjelloun S
Service d'Urologie Pr S. Benjelloun. CHU Ibn Rochd, Casablanca, Maroc.
Ann Urol (Paris). 1998;32(1):49-51.
The authors report an uncommon case of torsion of an inguinal undescended testis occurring in a 15-year-old child. He consulted seven days later for isolated left inguinal pain. Physical examination showed a left inguinal mass, and only the right testis was palpable within the scrotum. Sonography revealed left inguinal mass with echogenic and heterogeneous contents in keeping with undescended testis. The diagnoses of testis tumor or testis torsion were suggested. Surgical exploration revealed a mass suggesting a testis tumor. Orchidectomy was performed. Histological examination showed that the mass corresponded to a necrotic ischemic testis without tumor cells. In the light of this case, the authors analyse the diagnostic aspects and management of torsion of an undescended testis.
作者报告了一例发生在一名15岁儿童身上的罕见腹股沟隐睾扭转病例。七天后，他因单纯左侧腹股沟疼痛前来就诊。体格检查发现左侧腹股沟有一肿块，阴囊内仅可触及右侧睾丸。超声检查显示左侧腹股沟肿块，其内部回声增强且不均匀，符合隐睾表现。怀疑为睾丸肿瘤或睾丸扭转。手术探查发现一个肿块，提示为睾丸肿瘤。遂进行了睾丸切除术。组织学检查显示该肿块为坏死缺血性睾丸，无肿瘤细胞。鉴于此病例，作者分析了隐睾扭转的诊断要点及处理方法。
