篇名 | 腹腔內隱睪症-兩病例報告 |
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卷期 | 5:1 |
並列篇名 | Intra-Abdominal Testis - Report of Two Cases |
作者 | 謝輝龍 、 林茂盛 、 林大鐘 、 袁國棟 、 劉俊良 、 黃明和 |
頁次 | 44-48 |
關鍵字 | 腹腔內隱睪症 、 精細胞瘤 、 不孕症 、 睪丸扭轉 、 intra-abdominal testis 、 seminoma 、 infertility 、 testis torsion 、 TSCI |
出刊日期 | 199403 |
在此提出兩例腹腔內隱睪症病例,均因診斷太遲,產生併發症。第一病例是22歲左側隱睪症病人,術前超音波檢查與電腦斷層攝影,已確定睪丸位於膀胱左側。術中發現左睪丸扭轉與壞死,病人只接受睪丸切除。第二例是35歲雙側隱睪症病人,理學檢查發現右下腹有一可移動硬性腫瘤,左側觸摸不到,病人結婚四年未生育。術前超音波檢查、電腦斷層攝影、核磁共振影像授描已確定睪丸位置,病人接受兩側睪丸切除,病理報告右側是精細胞瘤,在側睪丸萎縮。因此兩例均因有併發症,只好作睪丸切除,提醒我們早期診斷與治療是必要的。
Two cases of intra-abdominal testis are presented with each had delayed detection and complications. The first patient was a 22-year-old with a left intra-abdominal testis. Before the operation the testis detected by sonography and computerized tomography was seen adjacent to the bladder. Orchiectomy was performed because of testicular torsion. The second patient was a 35-year-old married man with bilateral intra-abdominal testes and infertility. A movable mass was palpated at the right lower abdomen during physical examination. Bilateral orchiectomy was done. Pathology revealedx a seminoma on the right testis and atrophic change on the left. The associasted complications in these two cases indicate the importance of early detection and treatment of intra-abdominal testis.