Coexistence of transvers testicular ectopia and incarcerated inguinal hernia: A rare case report

Author(s):  
Ahmet Hikmet Şahin

Transverse testicular ectopia is a rare congenital anomaly in which both testes are located in the same hemiscrotum or inguinal region. The mean age at presentation was reported as 4 years. It is more common on the right side. We here report a case with incarcerated inguinal hernia and transverse testicular ectopia. The most important points in the diagnosis of transverse testicular ectopia are to be aware of this infrequent malformation and performing genitourinary examination of male newborns.

Author(s):  
Sudhakar Pitchumani ◽  
Elamparidhi Padmanaban ◽  
Yash Kumar Achantani ◽  
Rajasree Dhinadhayalan ◽  
Avinesh Varadane

Abstract Background Transverse testicular ectopia (TTE) is a rare congenital anomaly in which both the testis are in the same hemiscrotum or one testis in the inguinal canal of the same side. It is usually associated with other anomalies such as inguinal hernia, persistent Mullerian duct syndrome (PMDS), true hermaphroditism, and pseudo-hermaphroditism. In this case report, we present a rare case of TTE in an adult patient with fused vas deferens, aplastic right seminal vesicle, and right side inguinal hernia. Case presentation A 33-year-old male came with complaint of severe pain in the scrotum for 2 days with a long-standing history of right inguinoscrotal swelling. Clinical examination revealed a right inguinoscrotal swelling in which right testis was not palpable separately and left testis was palpable at periphery of the left hemiscrotum. Ultrasound imaging and MRI of the scrotum revealed TTE with both testes in the left hemiscrotum, fused vas deferens, right aplastic and left hypoplastic seminal vesicle, right side patent process vaginalis with a non-obstructive, and non-strangulated inguinal hernia. Surgical intervention with transeptal orchidodpexy was advised but not performed due to the patient’s unwillingness. Hence, we recommended an annual follow-up for the same. Conclusion The present case report emphasizes that though TTE is a rare congenital anomaly, it should be considered as a differential diagnosis in patients with an absent testis and/or infertility, and a detailed imaging and biochemical investigation should be employed considering the wide spectrum of associated conditions.


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.


2019 ◽  
Vol 6 (5) ◽  
pp. 1806
Author(s):  
Akash Agrawal ◽  
Palak Vora

Amyand's hernia is a rare form of an inguinal hernia (less than 1% of inguinal hernias) which occurs when the appendix is a part of hernial sac. Because of anatomical position of the appendix, it is most commonly found in the right sided hernial sac and it can also be accompanied by the caecum and/or right colon. In rare case, Amyand’s hernia can appear on the left side also. Here we report a case of left sided amyand’s hernia with acute perforated appendicitis in a 58 years old male patient at GMERS hospital, Dharpur, Patan, Gujarat, India.


2015 ◽  
Vol 87 (2) ◽  
pp. 200-202
Author(s):  
Anindya Sundar Baisya ◽  
Abhishek Patil ◽  
Alekh Jain ◽  
Praney Gupta ◽  
Abhishek Kumarsen Nadkarni

2017 ◽  
Vol 4 (3) ◽  
pp. 1118
Author(s):  
Sadashiva B Ukkali ◽  
Khodaija Mahvish ◽  
Nazeer Jeergal

Proximal femoral focal deficiency (PFFD) is a rare congenital anomaly. We present a case of an isolated unilateral congenital femoral deficiency that was born locally. A full-term male baby was brought to us with a complaint of short left lower limb. Examination revealed short left lower limb with absence of thigh. Detailed history was obtained and he was examined clinically as well as radiologically. He was diagnosed as a case of PFFD of type C. Proper evaluation and its management accordingly can help the patient to lead a socially and economically productive life. 


2021 ◽  
Vol 16 (1) ◽  
pp. 52-54
Author(s):  
Swapan Kumar Biswas ◽  
Saiful Islam Khan ◽  
Muhammad Mofazzal Hossain

Transverse testicular ectopia (TTE) is a rare but well-known congenital anomaly that occurs 1 in 4 million in which both testes migrate toward the same hemiscrotum. In most of the cases it is an intra-operative finding, but preoperative diagnosis can be made by careful history taking, physical examination and imaging studies. Further evaluation is very important because it can be associated with other congenital anomalies. We report a case of TTE in a 32 years old male who presented with sudden painful swelling in right inguinoscrotal region. Physical examination revealed right sided obstructed inguinal hernia and left sided non palpable testis with underdevelopment of left hemiscrotum. On exploration, one testis is found within the hernial sac and the other testis within scrotum of same side. The testis which was already in right side of scrotum was kept in same place and the other testis which was found within hernial sac was kept in subdartos pouch at the root of right side of scrotum. Faridpur Med. Coll. J. 2021;16(1):52-54


2020 ◽  
Vol 95 (4) ◽  
pp. 287-292
Author(s):  
Yo Han Ku ◽  
Kye Hun Kim ◽  
Hyung Yoon Kim ◽  
In Seok Jeong ◽  
Myung Ho Jeong ◽  
...  

Kommerell diverticulum is a rare congenital anomaly of the aortic arch characterized by dilation at the proximal descending aorta, which gives rise to an aberrant subclavian artery. Kommerell diverticulum is usually asymptomatic, but can also be associated with symptoms due to compression of the esophagus or trachea, and can rarely be fatal due to dissection or rupture of the diverticulum. Here, we report a rare case of dysphagia caused by compression of the esophagus by Kommerell diverticulum originating from the right-sided aortic arch.


2019 ◽  
Vol 6 (11) ◽  
pp. 4190
Author(s):  
Muthukumaran J. ◽  
Udhayasankar V.

Duplication cysts of the alimentary tract are very rare congenital anomaly. Out of all these cases, two-thirds of them manifest before the age of 2 years. They are common in ileum, but very rare in cecum. We hereby report a case of 6 years female child presented in paediatric surgery department with abdominal pain, diagnosed as duplication cyst with intussusceptions.


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