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病例报告:男婴,10个月,因被其母发现右侧腹股沟区肿胀而于当日住院。发病9小时后体检:双侧睾丸缺如,阴囊发育不全;右侧腹股沟区肿胀、呈微红色,可扪及一触痛性包块(3×3cm);左侧腹股沟区们及一小的隐睾(直径1cm);双侧提睾反射未引出。常规实验室检查无明显异常。由于高度疑诊右侧隐睾扭转,因而即刻采用剂量_(111)MBq(3mCi)~(99m)Tc-高锝酸盐进行骨盆和生殖器的放射性核素血管造影,结果显示右侧腹股沟包块周围动脉的灌注轻微增加,静态显像揭示包块区有一异常的炸面圈样放射性浓聚区。这种图形与漏诊的正常位置的睾丸扭转完全一样。
Case report: Baby boy, 10 months old, hospitalized on the same day as his mother found swelling in the right inguinal region. Nine hours after onset of physical examination: bilateral testicular absence, scrotal hypoplasia; right groin area swelling, reddish, palpable and a tenderness mass (3 × 3cm); left groin area and a small Cryptorchidism (diameter 1cm); bilateral cremaster reflex did not lead. No obvious abnormalities in routine laboratory tests. Pelvic and genital radionuclide angiography was immediately performed using a dose of (111) MBq (3mCi) ~ (99m) Tc-pertechnetate due to highly suspected torsion of the right cryptorchidism. The results showed that the right inguinal mass Perfusion of peripheral arteries increased slightly, and static imaging revealed an abnormal donut-like radioactive mass in the mass. This pattern is exactly the same as the testicular torsion in the missed normal position.