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例1,右下腹持续隐痛半月,排尿时加重于1991年10月15日入院.查体:下腹未触及肿块.直肠指诊:前列腺3×4cm,其右上方触及囊性肿物,壁光滑,触痛明显,上界触不到.尿常规无异常.B超:前列腺囊肿.静脉泌尿系造影示:右肾,输尿管未显影,左侧正常.肾图:右肾对位区无功能,左侧正常.CT结果;右肾缺如,膀胱右下方占位.输精管造影显示盆腔内右侧精囊充盈扩大,左侧正常.术前诊断:右侧精囊囊肿,右肾缺如.在硬膜外麻醉下手术,术中见右侧精囊职8×7×3cm,内充满咖啡色液体,约80ml,囊壁脆,与之相连的输精管增粗,与膀胱前列腺粘连,行囊肿切除.并探查膀胱,右侧输尿管口缺如,输尿管间嵴发育差.标本病理结果:精囊囊肿,未见精子.
Case 1, the right lower quadrant pain and a half months of continuous urination increased when admitted to hospital on October 15, 1991. Physical examination: the lower abdomen without touching the mass Rectal 指 诊: Prostate 3 × 4cm, touching the right upper cystic mass, the wall smooth, The tenderness is obvious, the upper bound can not touch .Normal abnormal urine .B super: Prostate cyst .Vaginal urography: Right kidney, ureter undeveloped, left normal. Side normal CT results; right kidney absent, right lower urinary bladder occupancy .Spitopeography showed right pelvic seminal vesicle filling enlarged left normal .Preoperative diagnosis: the right seminal vesicle cyst, right kidney absent in the epidural. Under anesthesia surgery, see the right seminal vesicle during surgery 8 × 7 × 3cm, filled with brown liquid, about 80ml, wall brittle, connected with the vas deferens thickening, adhesions with the bladder prostate, cyst excision and exploration of the bladder, Right ureterocele, such as ureteral cristae poorly developed. Pathology results: seminal vesicles, no sperm.