停留精巣に合併した精索捻転症の2例

Abstract

症例1は23歳男性で左下腹部痛, 発熱を主訴とした.小学1年時に左停留精巣を指摘されたが脳性麻痺のため経過観察となっていた.左停留精巣, 左急性精巣上体炎の診断で外科より転科した.抗生剤による保存的治療を行った.抗生剤の反応は不良で精索捻転症を強く疑い手術した.症例2は6歳男児で左下腹部痛を主訴とした.CTで左鼠径部に腸管と連続性のない内部不均一な腫瘤を認めた.左精索捻転症を疑い緊急手術した

We report two cases of torsion of the spermatic cord in undescended testis. Case 1: A 23-year-old man was admitted to our hospital with the complaints of fever and left inguinal pain. He had cerebral palsy in his past history. Tentative diagnosis of acute epididymitis of left undescended testis was made, and antibacterial drugs were given. Response was poor, and torsion of the spermatic cord was suspected strongly. Torsion of the spermatic cord in undescended testis and severe testicular infarction were seen in surgery after 13-day conservative treatment. Orchiectomy was performed. Case 2: A 6-year-old boy was admitted to our hospital with the chief complaints of left inguinal mass and pain. He had felt abdominal pain for 3 days. Scrotal contents were impalpable and the diagnosis of torsion of the spermatic cord was made. Orchiectomy was performed due to severe testicular infarction.