RESUMO
La ectopía testicular cruzada (ETC) es una rara malformación congénita en la que ambos testículos se localizan en el mismo hemiescroto o región inguinal. Esta entidad fue descripta por primera vez en 1886 por VonLenhossek. Desde entonces, menos de 100 casos hansido reportados. Nuestro objetivo es describir un raro caso de ETC intraabdominal, diagnosticado en un niño de 5 años durante una exploración laparoscópica.
Crossed testicular ectopia (CTE) is a rare congenital malformation in which both testis are located in the samehemiscrotum or inguinal region. This entity was first described by Von Lenhossek in 1886. Since then, there have been reported less than a hundred of cases. Our objective is to describe a particular case of intraabdominal CTE that was diagnosed in a 5 year-old child during a laparoscopic exploration.
Assuntos
Humanos , Masculino , Criança , Criptorquidismo , Doenças dos Genitais Masculinos , Testículo , Testículo/anormalidades , TestículoRESUMO
OBJECTIVE: To retrospectively assess early postoperative complications in augmentation cystoplasty without preoperative mechanical bowel preparation (MBP). MATERIAL AND METHODS: Between May 1987 and May 2006, 162 cystoplasties were performed in 158 children. The segments used were: sigmoid colon (81.5%), ileum (13%), and ileocecum (5.5%). The mean age was 8.65 years (range 2.1-22.7 years). No preoperative MBP of any kind was used in any of the patients and all of them received antibiotics preoperatively and postoperatively. RESULTS: No intraoperative complications related to the procedure were reported. The mean hospital stay was 9.48 days (range 4-30 days). The mean time to intake of oral fluids was 94.77 h (range 48-288 h). Postoperative complications occurred in 9.87%: urinary fistula was the most common (2.4%); only 3 patients presented wound infection (1.85%); 5 patients required reoperative surgery (hemoperitoneum, patch necrosis and 3 cases of urinary peritonitis); 1 patient presented an intra-abdominal abscess that resolved with antibiotic treatment. CONCLUSIONS: Preoperative MBP can be omitted in children that require augmentation cystoplasty without an increased risk of infectious or anastomotic complications. Further prospective, randomized clinical trials should be carried out in order to validate our findings in the pediatric population.