陰嚢内臓器付属器捻転症12例の臨床的検討

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本症12例で外科治療を行った。患側領域に圧痛がある限局した小結節を触診出来たので12例中5例は術前に正しい診断を下し得たが,残り7例では陰嚢全内容が時間と共に腫脹したので診断出来なかった。精巣腫脹を有する患者6例の組織学的検査では,精子形成は無傷であったWe reviewed 12 cases of torsion of appendix in the intrascrotal organ treated surgically and discussed its clinical features. An accurate diagnosis could be made in 5 of the 12 patients before operation because they had a palpable localized tender nodule at the affected area, but not in the other 7 patients because their whole scrotal contents had become swollen with time. The histological study on 6 patients with testicular swelling revealed their spermatogenesis intact. Therefore, we believe that torsion of the appendix in the intrascrotal organ has little influence on future fertility, and thus, correct preoperative diagnosis may diminish the necessity for surgical treatment.