ABSTRACT
La ectopia testicular cruzada es una rara patología congénita en la cual ambos testículos se localizan en el mismo hemiescroto y que traduce una alteración en el descenso testicular normal. Desde su descripción por Lenhossek en 1886(1) y posteriormente Halstead en 1907(=) han sido descritos hasta la actualidad poco más de 100 casos de esta rara patología. Como teorías etiológicas se han postulado la adhesión de los testículos a estructuras mullerianas, fusión de los conductos de Wolff o la alteración en la implantación del gubernáculo, sin que ninguna de ellas haya sido universalmente aceptada. La presentación clínica habitual es la de una hernia inguinal con testículo contralateral ausente, encontrando ocasionalmente ambos testículos en el lado herniario. Presentamos un nuevo caso de esta patología (AU)
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Subject(s)
Child, Preschool , Male , Humans , TestisABSTRACT
Crossed testicular ectopia is a rare congenital malformation in which both testis are located in the same hemiscrotum, and is related to an anomaly in normal testicular descent. This entity was first described by Lenhossek in 1886 and posteriorly by Halstead in 1907. Since then, there have been described less than a hundred of cases of this rare congenital malformation. Several ethiopathogenic theories have been proposed, including testicular adherence to mullerian structures, fusion of the wolffian ducts or defective gubemacular development, although none of them has been widely accepted. Usually, clinical sign is an inguinal hernia with empty contralateral hemiscrotum, and sometimes both testis in ipsilateral hemiscrotum. A new case of this pathology is presented.
Subject(s)
Testis/abnormalities , Child, Preschool , Humans , MaleABSTRACT
Hernias in the lumbar region are abdominal wall defects that appear in two possible locations: the superior lumbar triangle of Grynfelt-Lesshaft and the inferior lumbar triangle of Petit. There are 40 cases reported in the pediatric literature, and only 16 are considered congenital, associated with the lumbocostovertebral syndrome and/or meningomyelocele. A new case is presented. A premature newborn with a mass in the left flank that increases when the patient cries and reduces easily. The complementary studies confirm the diagnosis of lumbar hernia and reveal the presence of lumbocostovertebral syndrome associated. At the time of operation a well defined fascial defect at the superior lumbar triangle of Grynfelt-Lesshaft is primarily closed. The diagnosis of lumbar hernia is not difficult to establish but it is necessary the screening of the lumbocostovertebral syndrome. We recommend the surgical treatment before 12 months of age; the objective is to close the defect primarily or to use prosthetic material if necessary.
Subject(s)
Intervertebral Disc Displacement/congenital , Lumbar Vertebrae/abnormalities , Humans , Infant, Newborn , Intervertebral Disc Displacement/surgery , Lumbar Vertebrae/surgery , MaleABSTRACT
Varicocele is an abnormal dilatation of the veins of the pampiniform plexus. It is a commonly diagnosed finding due to the augmentation of pediatric age in our institutions and to the better routine physical examinations. The influence of varicocele on infertility is very well known, because of oligospermia and low motility of the sperm. There are controversy on surgical indications in children, because the absence of semen analysis. Do we have to operate all patients with varicocele or only those with symptoms? We review 16 cases with varicocele, 9 of those underwent surgery. The surgical indications were those patients with scrotal pain, stage II and III of varicocele classification and patients with lesser size of ipsilateral testis. Surgical procedures were high ligation of spermatic veins in all cases. Clinical evolution hsa been excellent, up to date.
Subject(s)
Varicocele/surgery , Adolescent , Child , Humans , Male , Varicocele/classification , Varicocele/diagnosisABSTRACT
Based on the experience in this service during the preceding 6 years, authors have carried out an statistical study of cleft lip palates, and at the same time, given the high frequency that these are seen to be associated with congenital malformation, classify them within a syndromic group or family.
Subject(s)
Abnormalities, Multiple/pathology , Cleft Lip/pathology , Cleft Palate/pathology , Maxilla/abnormalities , Abnormalities, Multiple/epidemiology , Cleft Lip/epidemiology , Cleft Palate/epidemiology , Humans , SpainABSTRACT
Gastrin has a regulating effect on the complicated closing mechanism of the lower oesophageal sphincter. This hormone produced in G-cells of the pyloric antrum and carried by the blood stream has its greatest effect on the anterior fundus wall, cardias and the lower oesophageal sphincter. Thus, when there is a failure in the closing mechanism of the lower oesophageal sphincter produced by lacking maturity of the oesophageal fibers and the cardias zone, only those surgical procedures using the gastric fundus in order to correct the failure can guarantee a good result, if medical treatment has not been successful. The authors comment on the physiological basis of the treatment, the medical as well as the surgical one, of the gastro-oesophageal reflux.