腹腔內隱睪症－兩病例報告

Intra-Abdominal Testis - Report of Two Cases

謝輝龍(Huei-Loong Hsieh) ； 林茂盛(Mao-Sheng Lin) ； 林大鐘(Tah-Chong Lin) ； 袁國棟(Kuo-Tong Yuan) ； 劉俊良(Jiunn-Liang Liu) ； 黃明和(Min-Huo Huang)

《中華民國泌尿科醫學會雜誌》 5卷1期 (1994/03) Pp. 44-48

https://doi.org/10.7024/JUAROC.199403.0044

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。

關鍵字

腹腔內隱睪症 ； 精細胞瘤 ； 不孕症 ； 睪丸扭轉

並列摘要

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.

並列關鍵字

intra-abdominal testis ； seminoma ； infertility ； testis torsion