陰嚢内結石の1例

SCROTAL PEARL: REPORT OF A CASE

緒言

　陰嚢水腫に伴う睾丸固有鞘膜内の遊離体について初めて記載したのはフランスのCloquetといわれる。本邦では小俣が1930年に1例を報告したのが最初で1），その後41例が報告されている。これら小体は，陰嚢内結石をはじめ，遊離体（CorupusLiberum），澱粉体（Corpora Amylaces），ScrotalPearlなどと呼ぼれるが，当教室にて前立腺癌患者の除睾術に際し，偶然に本症例を経験したので，ここに報告する。

A 71-year-old man was admitted to the Niigata University Hospital on August 23, 1977, with a chief complaint of dysuria. Because prostatic carcinoma was suspected on anal digital examination, prostatic biopsy was performed, which was proved to be adenocarcinoma. On September 16, 1977, castration was performed. Postoperative examination of his left sided periorchium disclosed a small body, which was rice-sized and milky wite in color, with some amount of fluid. Scrotal swelling was not recognized preoperatively.