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中華民國泌尿科醫學會雜誌

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篇名 腹腔內隱睪症-兩病例報告
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 testisseminomainfertilitytestis torsionTSCI
出刊日期 199403

中文摘要

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。

英文摘要

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.

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