9s
ABSTRACTS
author suggests that this factor possibly should have weighed against surgical treatment. The author stresses the complicated relationship of posterior median bar formation to meatal stenosis, cystouretritis, bladder hypotonicity and ureteral reflux. He suggests that surgical benefit is less likely if there is a marked inflammatory element and/or bladder hypotonicity. The author admits that the management of vesicourethral dysfunction is far from completely satisfying and results are difficult to predict.-George W. Holcornh, 3r. THE
VAS
DEFERENT
H. B. Vu/man
2:566-567,
IN
CYSTIC
FIBROSIS.
Lancet
und N. E. France.
(September
13) 1969.
The vasa deferentia were examined at autopsy in IO boys who died with cystic fibrosis between the ages of 56 hours and I5 years. In one child the vasa were not found. In all others they were completely or partially reduced to a fibrous or muscular band. It is suggested that, in cystic fibrosis, the mesonephric system develops normally but that the mesonephric duct becomes obliterated soon after the mesonephros is SUperseded by the metanephros, probably between the 10th and 12th weeks of fetal life. --1. H. /o/l,r.trorr. Tuut. WITH
HtRMAPHRODITlSM A
COMMON
SINUS.
Vu\jid C. Hefelfingcr, Kennetll sot,, Dirjtcr Assor und George
R. T. T.vT. Bryant.
Pediatrics
1969.
(May)
From the University of Texas. Galveston Branch, is reported a case of a seven-yearold boy with predominantly female external and internal genitalia, a phallus resembling a penis. and bilateral ovotestes. The case is unique in that this true hermaphrodite did not have ;I common urogenital sinus.-Willitr,rl K. .Sic~hvr. EFFECTS OF TESTICULAR ON Tr-.srls
ok YOUNG
AND RATS. D. K. Dus,
Clrcrkrtr\urti.
ECTOPIC SPLENIC TISSUE IN THE GONAD:
A Canad. J. Surg. 1969.
CASE REPORT. M. Q. Hill.
l2:457-458,
(October)
The author reports a 13-year-old boy with a firm swelling within the upper pole of the left testicle. A provisional diagnosis of testicular tumour was made. The testicle and epididymis were resected. Pathological examination revealed that the testicular lesion was formed by mature, encapsulated splenic tissue. Two groups of this anomaly exist. The “continuous” group, in which there is an anatomical continuity with the spleen, and a “discontinuous” group in which there is isolated splenic tissue in the inguinal canal or gonad. To date 52 cases have been reported. The condition has only been described on the left side and there is ;I large male predominance.--Co& C. Fcqmau.
UNASSOCIATED
UROGENITAL
43:896-900,
dogs and rats (10 each), were carried out. In only one animal was there obvious gangrene of the testis. In the remaining animals, testes showed atrophic changes. Microscopically, all the seminiferous tubules showed degenerative changes in 91.4 per cent cases, whereas in remaining cases, some tubules survived but were enveloped by thick fibrous tissue.-R. K. Gundizi.
VESSEL
LIGATURE
AND ADULT
DOGS
K. Singh and R. N.
Indian J. Surg. 30:495-507, 1968,
f November-December)
Experiments to study the effect of iigature of the testicular artery in young immature dogs and rats (10 each), and adult
TORSJON OF THE APPENDIX NEWBORN.
Forter.
Dun
Jr. Amer.
(October)
W. Chiks
TESTIS IN THE:
ond
.I. Dis. Child.
RO~U
S.
I IX:h.52.
1969.
This is a report of an l&hour-old male infant with torsion of the appendix testis confirmed by surgery. This is the first reported case of torsion of the appendix testi in the first day of life. The authors claim that a firm purplish mass with a slight fixation to scrotum which does not transilluminate. is most commonly indicative of intrauterine torsion of the spermatic cord. The latter was the major reason for immediate surgery in an attempt to salvage the testis. The case reported provided additional rationale for surgical intervention, as the swelling of the paratesticular torsion within the tunica vaginalis was apparently compressing the testis and impniring it\ blood supply.-Fr‘rrrtrk C;. DcI.lcc.0.