scholarly journals Five different cases of ectopic testes in children: a self-experience with literature review

2019 ◽  
Vol 2 (3) ◽  
pp. e000068 ◽  
Author(s):  
Ali Egab Joda

BackgroundEmpty scrotum may be due to many reasons; besides true undescended testis these are monorchia, retractile testis, atrophy of testis due to torsion and ectopic testis. The location of testis in an aberrant site after passing through the inguinal canal and leaving it via external ring is a condition called ectopic testis. The most common aberrant locations of ectopic testes are superficial inguinal pouch (Denis Browne pouch), within anterior abdominal wall, perineum, femoral canal, contralateral scrotum (transverse testicular ectopia) and prepenile area.MethodsDescription of management of five different cases of ectopic testes over a period of 10 years’ experience in pediatric surgery have been done with review of the literature about this rarity.ResultsFive different cases of ectopic testes were as follows: infants 3 months of age with right ectopic testis in anterior abdominal wall near anterior superior iliac spine, 4 months of age with left perineal testis, 6 months of age with an ectopic femoral testis on left side, 8 months of age with transverse testicular ectopia on left side and 10 months of age with right true undescended testis and left perineal testis.ConclusionsSearch for ectopic sites of testes should always be in mind during examination of patients with empty scrotum. Early surgical repair of ectopic testes is recommended, as there is no chance of spontaneous correction to the normal location. Long-term follow-up is necessary due to relatively high incidence of infertility and malignant transformation. Surgeons should be aware of the rare possibility of transverse testicular ectopia in cases of inguinal hernia with impalpable testis on the contralateral side.

2016 ◽  
Vol 17 ◽  
pp. 490-493 ◽  
Author(s):  
Salman Atiq Siddiqui ◽  
Tamer Ibrahim Marei ◽  
Ghada Al-Makhaita

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Chrysovalantis Gkekas ◽  
Evangelos N. Symeonidis ◽  
Ioannis Tsifountoudis ◽  
Christos Georgiadis ◽  
Vasileios Kalyvas ◽  
...  

Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we present a case of a 19-year-old patient with persistent left testicular pain lasting for a week. Clinical examination revealed an empty right hemiscrotum, a normal left-sided descended testis, and in close proximity a mass-like structure resembling testicular parenchyma. Laboratory tests were significant for elevated follicle-stimulating hormone (FSH), while sperm count revealed azoospermia. Ultrasound imaging (US) of the scrotum demonstrated the presence of both testes in the same left hemiscrotum with varicocele and no signs of inguinal hernia. Magnetic resonance imaging (MRI) of the penis and scrotum revealed TTE with a single, fused vas deferens, and hypoplastic seminal vesicles. Surgical intervention by means of microsurgical sperm retrieval and transseptal orchidopexy were considered but not performed, primarily owing to the patient’s unwillingness and to a lesser extent due to the restriction that the short and fused vas would pose in an attempt to transpose the ectopic testis. Therefore, an annual follow-up was recommended.


2015 ◽  
Vol 01 (01) ◽  
pp. 015-018
Author(s):  
Noopur Priya ◽  
Luv Luthra ◽  
Sweta Agrawal

AbstractCrossed Testicular Ectopia (CTE)/Transverse Testicular Ectopia (TTE) is a rare but well-known congenital anomaly, in which both gonads migrate toward the same hemiscrotum. It is usually associated with other abnormalities such as persistent Mullerian duct syndrome, True Hermaphroditism, Inguinal Hernia, Hypospadias, Pseudohermaphroditism, and scrotal anomalies. We report a case of 6 years old male child with right undescended testis and empty left scrotum. Diagnosis was confirmed preoperatively by ultrasound followed by open inguinal exploration for orchidopexy.


2018 ◽  
Vol 5 (3) ◽  
pp. 1127
Author(s):  
Veershetty S. D. ◽  
Manjunath K. ◽  
O. G. Prakash ◽  
K. S. Hanumanthaiah ◽  
Rajagopalan S.

Author present a case of persistent mullerian duct syndrome with transverse testicular ectopia with bilateral hernia uteri inguinalis in a 17 years old boy. This is a rare congenital anomaly and an uncommon form of male pseudo-hermaphroditism characterized by the persistence of well-developed Mullerian duct structures in an otherwise normal male with a 46 XY karyotype. Transverse testicular ectopia (TTE) is one of the rarest forms of testicular ectopia. In this condition, both testes are located on one inguinal side and the opposite inguinal canal and scrotum are empty. TTE associated with PMDS is much rarer. The exact cause of PMDS is uncertain. However, it is thought to result from the failure of synthesis or release of Mullerian inhibiting factor (MIF), the failure of end organs to respond to MIF, or a defect in the timing of the release of MIF. Patients with PMDS present with unilateral or bilateral cryptorchidism and an inguinal hernia containing a fallopian tube, uterus and testis. The case was diagnosed on doing diagnostic laparoscopy followed by bilateral inguinal herniorrhaphy and right Orchidectomy. 


1970 ◽  
Vol 52 (195) ◽  
pp. 943-945 ◽  
Author(s):  
Anup Pradhan ◽  
Om Biju Panta ◽  
Ghanshyam Gurung ◽  
Dan Bahadur Karki

Crossed testicular ectopia also known as transverse testicular ectopia is a rare anomaly of the testis which is ectopically located in contralateral hemiscrotum with absent testis in the ipsilateral hemiscrotum. Most case are incidentally discovered intraopeartively during operation of inguinal hernia and few case reports are available which have reported preoperative diagnosis of crossed testicular ectopia. We report a case of crossed testicular ectopia in 12 year old boy who presented with right undescended testis diagnosed preoperative on Ultrasound and Magnetic Resonance Imaging as crossed testicular ectopia. Keywords: crossed ectopia; MRI; testis; ultrasonography.


2005 ◽  
Vol 21 (8) ◽  
pp. 687-688 ◽  
Author(s):  
P. L. N. G. Rao ◽  
Varun Gupta ◽  
Vijay Kumar

2019 ◽  
Vol 19 (1) ◽  
pp. 39-41
Author(s):  
Sharmin Islam ◽  
SM Amjad Hossain ◽  
Abdullah Al Mamun ◽  
Syed Masud Reza ◽  
Tushit Kumar Barua

Crossed testicular ectopia (CTE) is an extremely rare anomaly in which deviation of testicular descent results in unilateral location of both testes. It usually presents as an inguinal hernia on the side of a fully descended testis and an impalpable testis with undeveloped hemiscrotum on the contralateral side. Most often the diagnosis of CTE is not made until surgical exploration. Few reports are available regarding CTE in infants or younger children. Though the patients of CTE usually present at a younger age, we report a case of crossed testicular ectopia in a 65-year-old male who was admitted in the department of surgery, Shaheed Suhrawardi Medical College Hospital (ShSMCH) with right sided inguinal hernia. Journal of Surgical Sciences (2015) Vol. 19 (1) : 39-41


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