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由于扭曲而复杂的腹内丸瘤:一个病例报告
Majd Oweidat1,2, Saad Halabi1,3, Raed A H Alhashash4
1College of Medicine, Hebron University, Hebron, West Bank, Palestine.
Urology case reports
|December 24, 2025
概括
在儿童中,未下降的丸可能由于扭曲而呈现为腹部质量. 迅速的手术扭曲和切除对于治疗丸瘤和预防并发症至关重要.
科学领域:
- 儿科手术 儿科手术
- 尿道瘤学 尿道瘤学
- 发展生物学 发展生物学
背景情况:
- 不下降的丸 (密码性形症) 是婴儿常见的一种先天性异常.
- 丸扭曲是一种手术紧急情况,如果不及时治疗,可能导致丸损失.
- 在密码症中,腹部内丸扭曲会出现非典型的症状,模仿其他腹部病理.
研究的目的:
- 报告一个罕见的腹内丸扭伤病例,该病例发生在一个患有密码症的儿童身上.
- 要突出与这种疾病相关的诊断挑战和成像发现.
- 强调及时手术干预的重要性,以获得有利的结果.
主要方法:
- 一个1岁男孩患有发烧,腹部膨胀和未下降的丸的案例介绍.
- 诊断工作包括体检,实验室测试 (WBC,CRP,血小板,血红蛋白),超声波和计算机断层扫描 (CT).
- 手术管理涉及紧急腹腔切除,扭曲和切除受影响的丸.
主要成果:
- 患者呈现出感染迹象和腹腔内质量.
- 图像检测显示,CT上有一种异质的无血管腹内质量,CT上有一种"旋标志",暗示扭曲.
- 组织病理学证实了青春期前型的丸瘤.
结论:
- 丸扭曲在密码症中可以呈现为腹部质量,造成诊断挑战.
- CT上的"旋标志"是丸扭曲的一个关键指标.
- 在这种情况下,迅速的外科探索,扭曲和骨架术对于保持丸功能和管理瘤至关重要.
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