患者,男,34岁。1982年结婚,性生活正常,有一5岁男孩。入院前3月无意中发现右下腹有一包块,初如鸡蛋大小,后逐渐长大,质硬,疼痛,不能平卧。1991年10月15日拟诊为腹部包块入院。体检:T36.5℃,P86次/分,BP14/9kPa。发育正常,营养差,胡须稀少。下腹部膨隆,右侧明显,可扪及约20×15cm肿块,上界平脐,下界不清,质硬,表面光滑,压痛明显,不活动。阴毛稀少,阴茎无畸形,双侧阴囊发育不良,阴囊及双侧 Patient, male, 34 years old. Married in 1982, normal sex life, there is a 5-year-old boy. Inadvertently found in March before admission, there is a mass of the right lower quadrant, the beginning, such as egg size, then gradually grow up, hard, pain, can not lie down. October 15, 1991 to be diagnosed as abdominal mass admission. Physical examination: T36.5 ℃, P86 times / min, BP14 / 9kPa. Normal development, poor nutrition, scarce beard. Lower abdomen bulging, the right obvious palpable mass of about 20 × 15cm, the upper bound navel, the lower bound unclear, hard, smooth surface, tenderness obvious, inactive. Sparse pubic hair, no deformity of the penis, bilateral scrotal dysplasia, scrotal and bilateral