在儿童中发生横向丸切口症的病例系列
Sai Prasuna Vudata1, Anusiri Inugala1, Sai Krishna Vuppala1
1Department of Pediatric Surgery, Niloufer Hospital, Hyderabad, Telangana, India.
Journal of Indian Association of Pediatric Surgeons
|February 19, 2025
概括
横向丸外 (TTE) 是一种罕见的疾病,其中两个丸都向一侧迁移. 推早期诊断和跨septal orchiopexy用于管理儿童的TTE,特别是与相关的条件.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 发育生物学 发展生物学
背景情况:
- 横向丸切除症 (TTE) 是一种不常见的先天性异常.
- 它涉及双边丸迁移到单个半球体.
研究的目的:
- 描述儿童患者中TTE的临床表现和治疗方法.
- 突出TTE的诊断考虑和手术建议.
主要方法:
- 五个TTE儿科病例的回顾性审查.
- 分析患者病史,调查,外科发现和手术程序.
主要成果:
- 病例呈现出 inguinal 带和/或未下降的丸.
- 在所有病例中都进行了内切除和横septal orchiopexy.
- 三个病例与持久的梅勒里亚管综合征 (PMDS) 有关.
结论:
- 应该怀疑TTE在患有单边密码症和逆侧的儿童.
- 超声波对于手术前诊断至关重要.
- 建议进行跨septal orchiopexy,特别是在融化的vasa deferentia;在PMDS病例中,应该保存Müllerian残留物.
相关概念视频
Testes: Histology
638
A tough, fibrous membrane, the tunica albuginea, covers the testes, extending inward to form fibrous partitions or septa, dividing them into internal compartments called lobules. Each lobule has 1 to 3 tightly coiled seminiferous tubules where sperm production occurs. These tubules merge into a tubular network at the back of the testis, known as the rete testis. It connects to 15 to 20 efferent ductules, leading to the epididymis.
The spermatogenic cells, responsible for producing sperm, are...
The spermatogenic cells, responsible for producing sperm, are...
638
Testes: Gross Anatomy
1.6K
The testes, also known as testicles, are the male gonads. They are housed within the scrotum, a sac-like structure located beneath the penis. The scrotum's primary role is to regulate the temperature of the testes, which is crucial for sperm production.
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
1.6K
Development of the Sexual Organs in the Embryo and Fetus
502
Development of the reproductive organs in an embryo starts from a bipotential state. This means the early embryo can develop either male or female reproductive organs. The formation of these organs begins with the growth of gonadal ridges that arise from the intermediate mesoderm during the fifth week of development.
Near the gonadal ridges, two duct systems are present: the mesonephric ducts (Wolffian ducts) and paramesonephric ducts (Müllerian ducts). These ducts form the basis for the...
Near the gonadal ridges, two duct systems are present: the mesonephric ducts (Wolffian ducts) and paramesonephric ducts (Müllerian ducts). These ducts form the basis for the...
502
Infertility in Males
230
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
230


