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KMID : 0381219710030010073
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Journal of RIMSK
1971 Volume.3 No. 1 p.73 ~ p.76
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A CASE OF MONORCHISM
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Chang Lyuk-Yoon
Kim Kee-Soo
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Abstract
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Congenital absence of one testis or both testes is still considered as a rare case. In 1878, when Gruber reviewed the literature, only 23 cases of monorchism and 7 cases of anorchism had been reported. Since the advent of surgical treatment for cryptorchism, however, an increasing number of cases of congenital absence of one or both testes has been reported.
A case of monorchism associated with inguinal hernia is presented in this paper. Patient 13 year old boy entered to Sacred Heart Hospital with left inguinal tumor without scrotal content in this side on August 22, 1970. We could not recognized his left testis in his inguinal canal or in the peritoneal cavity, and scrotum, but vas deferens and epididymis which was attached with inguinal hernia sag were found in the lower third of the inguinal canal. Study of this case presentation does not reveal any conclusive evidence in differentiating monorchism from cryptorchism.
It was logically explained that in the presence of vas deferens and epididymis in the scrotum, exploration for the testis can be safely limited to exploration of the scrotum, inguinal canal and the peritoneal cavity in the region of the internal inguinal ring, while if neither the vas deferens nor the spermatic vessels can be identified, abdominal exploration is necessary to rule out an abdominal testis, transverse ectopia of the testis, and congenital absence of the entire spermatic tract.
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