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患者,男,39岁,已婚.1985年8月因右侧隐睾、左腹股沟区肿物而行双侧腹股沟管探查术.术中发现左侧腹股沟斜疝和双隐睾.行疝修补术,并将发育较好的左隐睾下降至阴囊固定,切除发育极差的右隐睾(病理报告证实为发育不良睾丸组织).术后三个月,左侧腹股沟区再度出现一肿物,缓慢增大,大1993年3月15日以复发性左侧腹股沟斜疝收治.查体:第二性征明显,右阴囊空虚,左睾丸位于阴囊内,左腹股沟区可见一约10×8cm大小肿物,质韧,活动度差,将肿物向内环挤压,未能使肿物明显缩小.阴茎发育良好.于20日再度行左腹股沟管探查术,术中发现左腹股沟管中部有一10×8cm大小肌性肿物,质硬、和周围组织粘连严重,剖开肿物见内有50ml淡黄色液积聚,从阴茎插入导尿管,证实肿物腔和膀胱不相通,行肿物切除术.术后肿物病检报告为发育不良子宫.CT腹部探查,未发现卵巢样物.出院诊断:男性假两性畸型.
Patients, male, 39 years old, married .1985 August due to the right side of cryptorchidism, left groin tumor bilateral inguinal canal exploration surgery was found in the left inguinal hernia and double cryptorchidism. Hernia repair Surgery, and the development of better left cryptorchidism decreased to the scrotum fixed, removal of poorly developed right cryptorchidism (pathological report confirmed as dysplastic testes) .After three months, the left groin area again a tumor , Slowly increased, March 15, 1993 with recurrent left inguinal hernia treated. Physical examination: secondary sexual characteristics obvious, right scrotum empty, left testis in the scrotum, the left groin area can be seen a about 10 × 8cm Size of the tumor, quality and toughness, poor mobility, the tumor extrusion to the inner ring, failed to make the tumor was significantly reduced .Penic development is good .On the 20th again left inguinal canal exploration, surgery found in the middle of the left inguinal canal There is a 10 × 8cm size muscle mass, hard, and the surrounding tissue adhesion serious, cut open the tumor See 50ml yellow liquid accumulation, from the penis into the catheter, confirmed the tumor cavity and bladder are not connected, swollen Excision of tumor after surgery was reported as dysplastic uterus. CT abdominal exploration, no ovarian samples were found. Discharge diagnosis: male Pseudohermaphroditism deformity.