乳糜性陰嚢水腫（フィラリヤ症）の1例

A CASE REPORT OF CHYLOCELE TESTIS: FILARIASIS

Ⅰ．緒言

　泌尿器科領域におけるフィラリヤ症は，乳糜尿の主要病因の1つとしてよく知られている。わが国においては南部の温暖な海岸，ことに島嶼地方に罹患者が多いが，中部以北では比較的まれな疾患で，特に乳糜性陰嚢水腫を呈するものは珍らしい。

　最近沖繩から移住してきた工員の1人に本症を発見し，その穿刺液中にフィラリヤ仔虫を多数に証明した症例について報告する。

A case of chylocele testis in a 22 years old mechanic who was born in Okinawa and immigrated to Toyoda City, Aichi Prefecture in September 1967, was reported.

The punctate was turbid by chylous matter and many active microfilarias were present but the larvae was not found in the blood stream nor in the resected specimen by histopathological examination.

Left orchiectomy was performed due to severe adhesions between the testis and epididymis and remarked fibrosis of tunica vaginalis and propria.

Spatonin was prescribed after surgery.