在一个2岁的孩子身上呈 inguinal hernia 的横向丸外:病例报告
Ashagre Gebremichael Ganta1, Wintana Tesfaye Desta2
1Department of Surgery Hawassa University, School of Medicine, Ethiopia.
International journal of surgery case reports
|April 22, 2025
概括
横向丸外 (TTE) 是一种罕见的疾病,其中两个丸都下降到一个 inguinal 通道,经常错过在中低收入国家. 手术探索是诊断和管理这些设置的关键.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 遗传异常是一种先天性异常.
背景情况:
- 横向丸切除症 (TTE) 是一种罕见的先天性异常.
- 它通常呈现为 inguinal ,导致错过诊断.
- 在低收入中等收入国家 (LMICs) 中,诊断挑战更为严重.
研究的目的:
- 突出在LMICs中TTE的诊断挑战.
- 强调手术探索对TTE诊断的重要性.
- 为了强调对TTE病例的早期干预的需要.
主要方法:
- 病例介绍:一个2岁的男孩,手足部胀,丸无法触摸.
- 由于 contralateral cryptorchidism 的原因,对TTE 的临床怀疑.
- 在手术期间的探索证实了TTE,在囊中发现了两个丸.
主要成果:
- 由于LMIC的成像有限,TTE的手术前诊断是不可能的.
- 在手术期间的发现证实了双边丸位于右 inguinal hernia sac 中.
- 双边形术和椎修复成功进行.
结论:
- 对于未下降丸的儿科 inguinal hernias,TTE 是一个关键的差异诊断,特别是在资源有限的环境中.
- 手术探索是诊断和管理的黄金标准,当图像无法使用时.
- 提高临床怀疑和量身定制的手术策略对于TTE病例的最佳结果至关重要.
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