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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >CONCEALED DIVERTICULUM OF THE MALE URETHRA AS A CAUSE OF URINARY OBSTRUCTION
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CONCEALED DIVERTICULUM OF THE MALE URETHRA AS A CAUSE OF URINARY OBSTRUCTION

机译:尿道梗阻导致男性尿道隐匿性憩室

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In infancy and childhood there are many causes for obstruction to the flow of urine through the urethra. These include preputial adhesions, meatal narrowing, urethral stricture, posterior urethral valves, and contracted bladder neck. It has been known also that congenital diverticula of the urethra can give rise to urinary obstruction. These have been studied by Watts1 in 1906, by Lowsley and Gutierrez2 in 1928, by Kretschmer3 in 1936, and by Campbell4 in 1937. Such diverticula have been detected heretofore by the presence of a swelling on the ventral surface of the penis, in the peno-scrotal angle, or in the perineum. It is the purpose of this paper to present three cases of concealed diverticula of the urethra in each of which there was urinary obstruction; in none of these was there any swelling on the external surface of the penis. In two of these children the cause of obstruction was not recognized during life; death ensued as a result of urinary tract infection and the urethral abnormalities were found at autopsy. In the third child the cause of obstruction was found by roentgenologic visualization of the urethra, and surgical relief of the obstruction was prompdy instituted.CASE REPORTSCase 1Children's Hospital #153,603. This 5-year-old boy was admitted to the Surgical Service on October 3, 1931, with a history of urinary dribbling, intermittent fever, and pyuria. The mother stated that until 1? years of age, the child had had no urinary stream, the urine coming away only in a slow
机译:在婴儿期和儿童期,有许多原因阻碍尿液通过尿道。这些包括包皮粘连,肉狭窄,尿道狭窄,尿道后瓣和膀胱颈收缩。还已知先天性尿道憩室会引起尿路阻塞。 Watts1在1906年,Lowsley和Gutierrez2在1928年,Kretschmer3在1936年和Campbell4在1937年对此进行了研究。迄今为止,通过在阴茎腹侧,阴茎中存在肿胀来检测到这种憩室。 -阴囊角或会阴。本文的目的是介绍三例隐匿的尿道憩室,其中每例都有尿路阻塞。这些都没有在阴茎的外表面肿胀。这些孩子中有两个在生活中没有发现阻塞的原因。尿路感染导致死亡,尸检时发现尿道异常。在第三个孩子中,通过泌尿科的X线透视检查发现了阻塞的原因,并迅速实施了阻塞的外科手术缓解。病例报告第1例儿童医院#153,603。这名5岁男孩于1931年10月3日入院接受外科手术,有尿尿盘算,间歇性发烧和脓疱病的病史。母亲说直到1?岁以下,孩子没有尿流,尿液仅在缓慢的时间内排出

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