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当儿童时期的副睾炎的病因是淋球菌性,结核性或非特异性的时候,在两岁以下的病人,只报告过非特异性这种类型,文献上报导过32例婴儿副睾炎。以往多数诊断是经外科探查,因主要关切的通常是精索或睾丸副件扭转。对于男婴易患尿路感染的潜在情况的了解,结合现代诊断技术的进展,使得对选择性的儿童病人有可能作非手术诊断。病例报告患者A,W,9个月,白种人,男性,来院时发热,排尿时啼哭已24小时,并发现右腹股沟及阴囊部有一触痛的肿块。出生时因提肛肌以上肛门闭锁而行乙状结肠襻切开术,此后曾经有大便从尿道排出。术后静脉肾盂造影(ivp)检查结果正常,直肠钡剂灌肠发现有直肠膀胱瘘。体检:腋温101°F,结肠切口位
When the etiology of paranitis in childhood is gonococcal, tuberculous or nonspecific, only nonspecific forms have been reported in patients under two years old, and 32 cases of infantile epididymitis have been reported in the literature. In the past, most diagnoses were surgically probed because the main concern was usually the slippage of the spermatic cord or testis. Understanding of the potential situation of baby boys susceptible to urinary tract infections, combined with advances in modern diagnostic techniques, makes it possible to make non-surgical diagnosis of selective pediatric patients. Case Report Patients A, W, 9 months old, Caucasian, male, fever when coming to hospital, crying for 24 hours while urinating, and found a tender mass in the right groin and the scrotum. At birth due to mention levator ani muscle atlanto-off and sigmoid colon 襻 incision, since there was once stool discharged from the urethra. Postoperative intravenous pyelography (ivp) test results were normal, rectal barium enema found rectum bladder fistula. Physical examination: axillary temperature 101 ° F, colon incision