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患儿4岁,因剧烈运动左腹股沟上方包块2天伴疼痛于1991年7月15日入院。查体:T 36.5℃,P 80次/分。腹平软,无压痛。左腹股沟皮下环处见4cm×5cm 的圆形肿块,边界清,不活动,压痛阳性,左阴囊无睾丸。诊断为左腹股沟斜疝嵌顿。经手法复位及消炎治疗1天无效,行“腹股沟斜疝手术”。术中见精索周围组织瘀血水肿,皮下环有一包块。分离软组织,发现精索顺时针扭转三周,睾丸、附睾呈暗红色,为横位,有粘
Children 4 years old, due to strenuous exercise left inguinal mass 2 days with pain in July 15, 1991 admission. Physical examination: T 36.5 ℃, P 80 beats / min. Abdomen soft, no tenderness. Left groin subcutaneous ring see 4cm × 5cm circular tumor, the border clear, inactive, tenderness positive left scrotum no testicles. Diagnosis of the left inguinal hernia incarceration. After reduction and anti-inflammatory treatment 1 day invalid, line “inguinal hernia surgery ”. Surgical see spermatic cord tissue around the edema, subcutaneous ring has a mass. Separation of soft tissue and found that the spermatic cord twisted clockwise for three weeks, testis, epididymis dark red, horizontal, sticky