产前超声诊断胎儿睾丸扭转1例

Prenatal ultrasound diagnosis of fetal testicular torsion:a case report

本文报道了1例产前超声诊断的胎儿睾丸扭转病例。孕妇孕38周产前超声检查提示胎儿左侧睾丸回声略增强,睾丸鞘膜腔探及积液,鞘膜与筋膜间探及积液,呈“双环征”。考虑急性胎儿睾丸扭转,遂行急诊剖宫产术。新生儿阴囊超声示左侧睾丸声像图改变并周围双环积液,考虑胎儿睾丸扭转(鞘膜外型可能性大),急诊行左侧睾丸扭转复位+睾丸固定术+右侧睾丸固定术。术后半年复查睾丸超声未见异常。

This article reported a case of fetal testicular torsion diagnosed by prenatal ultrasound.Ultrasound examination at 38 weeks of gestation showed a slightly enhanced echo in the left testicle of the fetus and fluid accumulation within the testicular sheath cavity and between the sheath and fascia,presenting a'double-ring'sign.An emergency cesarean section was performed considering the risk of acute fetal testicular torsion.Postnatal ultrasound images revealed abnormalities in the left testicle of the neonate and peripheral effusion with a'double-ring'echo.The patient was considered to have congenital testicular torsion(with a high possibility of extravaginal type)and received an emergency treatment of left testicular torsion reduction combined with testicular fixation surgery and right testicular fixation surgery.Six months after surgery,reexamination by ultrasound showed the testicles of the newborn were normal.