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摘要


精掖囊腫通常是在理學檢查被意外發現,常常沒有引起症狀。我們報告一個臨床上相似陰囊積水的巨大精液囊腫。一位55歲男性的右側陰囊腫大已有數年,並且在最近幾個月開始有下墜及酸疼的感覺。在門診以光照檢查顯示陰囊內容物是可透光的,初步的診斷為一陰囊積水。手術探查發現一巨大的精液囊腫,我們將此精液囊腫完全切除,術後病人恢復良好。檢體送病理檢查,在精液囊腫內可見到精蟲。

並列摘要


Spermatoceles are usually asymptomatic and often found incidentally during physical examination. We report a case of giant spermatocele that mimicked a hydrocele. A55-year-old man suffered from right scrotal enlargement for several years. As the heavy sensation and scrotal soreness worsened in recent months, he came to our outpatient clinic for help. Hydrocele was suspected due to transilluminating appearance of the scrotal content. Surgical exploration was arranged and a giant spermatocele was found. Total excision of the spermatocele was performed and the patient recovered well. The specimen was sent for pathology and spermatocele with spermatozoa was noted.

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