外傷性精巣脱出症の6例

Abstract

外傷性精巣脱出症の6例を経験したので, 現在までの本邦報告例79例を集計し, 検討した.表在性鼠径部脱出症が多かったが, 用手整復が可能であった症例は少なく, 観血的整復を要した.最近, バイク事故によるものが多く, それに伴い10代の患者が増加していた.脱出した精巣の生検所見で, 短期の脱出であっても影響がおよぶ可能性も示唆された

Dislocation of the testis is a rare injury, with only 73 cases having been reported in Japan. We herein add 6 cases. Lately, accidents involving teenage patients, primarily involving motorcycles, have been increasing. Closed reduction is recommended, but it was successful only 5 of 73 cases. The results of testicular biopsies suggest that early surgical management is required when closed reduction is unsuccessful.