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Title: 再発性小児精巣上体炎の1例
Other Titles: Recurrent epididymitis in a child without genitourinary malformations: a case report
Authors: 関根, 芳岳  KAKEN_name
久保田, 裕  KAKEN_name
栗原, 潤  KAKEN_name
Author's alias: Sekine, Yoshitaka
Kubota, Yutaka
Kurihara, Jun
Keywords: Child
Ultrasonography, Doppler, Color
Issue Date: Sep-2002
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 48
Issue: 9
Start page: 569
End page: 571
Abstract: 12歳男子.主訴は右陰嚢腫大.右精巣上体炎と診断し,PIPC及びISPの点滴静注を開始した.抗生剤投与後に次第に陰嚢内容の腫脹は軽快して14日目には白血球及びCRPは正常化した.予防的にCFTM-PIを処方したが運動後に右陰嚢腫脹が再出現した為CTM及びISPの点滴静注を開始した.抗生剤開始後,次第に局所所見が改善した.以後,予防的にEM及びTFLXの内服を続けていた.再度右陰嚢腫大が出現し右精巣上体炎の再発と診断された.PIPC及びISPの点滴静注開始後,局所所見は改善したが,今後も抗生剤による治療のみでは再発する可能性があった為,右精巣上体摘出術を施行した.精巣上体は白膜など周囲組織と癒着しており,特に尾部ではその癒着が著明であった.再発を繰り返したので尿路合併奇形の検素を行った.Voiding cystourethrography尿流量測定を行ったが異常所見は認めなかった
The patient was a 12-year-old boy, who was brought to our hospital with a chief complaint of swelling and pain in the right scrotum. Color Doppler ultrasonography showed blood flow in the right testis and increased blood flow at the right epididymis. Our diagnosis was right epididymitis, and the swelling of the scrotum was improved by antibiotics. Since there was recurrence, right epididymectomy was performed. Histological diagnosis was chronic epididymitis. Postoperative, screening for abnormalities in the urinary tract revealed no malformations. Recurrent epididymitis in a child without genitourinary malformations is a very rare pathology.
PubMed ID: 12402486
Appears in Collections:Vol.48 No.9

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