横向丸切除症与持续的梅勒里亚管综合征:一个病例报告
Keisuke Hidaka1, Akihiro Furuta2, Nobuyuki Mori1
1Osaka Red Cross Hospital, Osaka, Japan.
Abdominal radiology (New York)
|April 1, 2025
概括
横向丸外 (TTE),即两个丸都位于一个阴囊中,可以与持久的米勒尔导管综合征 (PMDS) 联系起来. 这个案例突出显示了TTE发生在下降后,与Müllerian残留物和长长的 gubernaculum相关.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 发育生物学 发展生物学
- 医疗成像医学成像
背景情况:
- 横向丸外 (TTE) 是一种罕见的疾病,其中两个丸都存在于一个阴囊中.
- 持续的米勒尔管综合征 (PMDS) 是男性的一种先天性疾病,其特点是存在米勒尔管残留物.
- 经过测试,TTE是一种公认的PMDS的临床表现.
研究的目的:
- 根据TTE,报告在成年男性中诊断出的PMDS病例.
- 为了研究TTE,Müllerian管道残留物和成年人丸扭曲之间的关系.
- 探索PMDS中TTE发展的潜在机制,包括丸下降后的发生.
主要方法:
- 计算机断层扫描 (CT) 和磁共振成像 (MRI) 用于评估骨盆和阴囊结构.
- 进行了手术探索,以确认成像发现并管理丸扭曲.
- 在被切除的丸和相关组织上进行了组织学检查和免疫染色.
主要成果:
- 这名患者出现了TTE和骨盆结构,暗示了穆勒氏管道残留物.
- 图像显示,右丸异位位于左阴囊内,扩大和扭曲.
- 组织学证实了右丸扭曲中的精子瘤,并确定了附着的米勒里亚管道残留物.
- 确定TTE是在完成丸下降后发生的,与Müllerian残留物和假定长的古伯纳有关.
结论:
- 这一案例支持了米勒里亚管残留物和异常长的古伯纳库卢姆导致PMDS中TTE的理论.
- 这些发现表明,TTE甚至可以在丸下降完成后表现出来.
- 这份报告在PMDS的背景下增加了对TTE病理生理学的理解.
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