小児期発症精索静脈瘤の1例

A CASE REPORT OF A CHILD WITH VARICOCELE

　8歳10か月男児。4歳時から左陰嚢が腫脹していた。某医に鼠径ヘルニアと診断され経過観察していたが，発熱時や入浴時に陰嚢腫脹がひどくなるので受診した。視診で診断がつく左精索静脈瘤であり，左精巣は萎縮していた。原因としてナットクラッカー現象が疑われたが，断定できなかった。下腹部横切開で左精巣動静脈を結紮切断した。術後，静脈瘤は消失し陰嚢は正常の形態になった。

The patient was an 8-year-old boy, whose left scrotal content had been swollen since he was 4-year-old. The swelling became more prominent when he had high fever or took a bath. He had severe left varicocele and his left testis was atrophic. Etiology could not be determined. Left testicular artery and vein were cut and ligated through left lower abdominal transverse incision. Varicocele disappeared postoperatively.