Abdominal wall ectopic testis torsion mimicking a Spigelian hernia in an adult

Natarajan, M.; Alnajjar, Hussain M.; Woodward, Chad; Tshuma, Makabongwe; Marshall, Tanya; Rochester, Mark

doi:10.1308/rcsann.2016.0335

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Abdominal positions of testicular ectopia are extremely rare, where a few cases have been reported so far [4]. Abdominal ectopic testis may be located, either on the inner surface of the anterior abdominal wall to be known as a preperitoneal testicular ectopia [17][18][19], at the subcutaneous spaces mimicking Spigelian hernia [4,20], or as interstitial abdominal wall testis which has been recently reported [21]. The preperitoneal positions have been increasingly detectable with the use of laparoscopy which represents the most accurate tool for management of the impalpable and intraabdominal testes [22].…”

Section: Discussionmentioning

confidence: 99%

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

et al. 2020

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Background: Testicular ectopia is defined as a testis which is located away from the normal pathway of testicular descent and outside its ipsilateral hemiscrotum. Controversies have been raised about considering the abdominal and inguinal ectopic testes as undescended ones. Our purpose was to review our center's experience with the diagnosis and management of testicular ectopia focusing on the inguinal ectopic testis. Retrospectively, we studied the clinical and surgical characteristics of a case series of testicular ectopia which was managed in our center during July 2001-June 2016. Results: Out of 1132 patients with undescended testes, 44 cases (3.9%) had testicular ectopia. Twenty-three cases (mean age = 5.15 ± 5.79 years) fulfilled the criteria of inguinal ectopic testis. Clinically, testes were relatively mobile and superficial. Surgically, they were located in the superficial inguinal pouch, had relatively long spermatic cords, and commonly had average rather than small sizes. The other ectopic 21 cases (mean age = 10.56 ± 6.92 years) were perineal, anterior abdominal wall, femoral, prepubic, and transverse testes in 7 (33.3%), 4 (19%), 4 (19%), 3 (14.3%), and 3 (14.3%) cases, respectively. Congenital inguinal hernia was the commonest associated anomaly (22.7%). All cases were treated surgically with only 1 case of testicular atrophy (2.3%). Conclusions: Testicular ectopia is rare with relatively delayed presentations. Different anatomical sites have been reported including the superficial inguinal pouch and anterior abdominal wall with variable complexities and controversies. The inguinal ectopic testis is the most controversial, but it might be characterized from other entities based on certain clinical and surgical criteria.

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Section: Discussionmentioning

confidence: 99%

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

et al. 2020

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Testicular Ectopia in a Child’s Anterior Abdominal Wall: A Case Report and Literature Review

Alaqeel¹,

Hakeem

Almaary³

2020

Am J Case Rep

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Utility of Ultrasonography for Diagnosing an Ectopic Testis With Torsion: A Case Report

Fujii,

Satoh,

Sato

et al. 2024

Cureus

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Since ectopic twisted testes are a rare condition, correctly and opportunely diagnosing them preoperatively is difficult and can result in testicular necrosis. We report a clinical case of a twisted ectopic testis that was diagnosed preoperatively by ultrasonography, and the testis could be rescued. A generally healthy 13-year-old boy was referred to our Urology Department after experiencing a painless swelling in the left inguinal region two weeks before, and mild exercise-induced pain in the same area one week before the referral. The mild pain persisted without worsening. On examination, a mildly tender swelling was present in the left inguinal region. The left half of the scrotum was empty; however, the right testis was normal in size and position. Ultrasonography revealed that the left spermatic cord was present within the inguinal canal and was directed superficially, with spiral twisting. The left testis was located above the inguinal canal, with normal echogenicity, but was smaller than the right normal testis (right testis, 41 × 28 × 16 mm; left testis, 18 × 18 × 8 mm). Power Doppler ultrasound showed normal blood flow in the left testis. Consequently, we diagnosed an ectopic testis with torsion. Intraoperative examinations confirmed the presence of the testis in the left superficial inguinal pouch. Although the testis had twisted five and a half turns (1980°) clockwise at the level of the superficial inguinal pouch, ischemia was not evident. Orchidopexy of both testes was performed, and the left testicular size was maintained after surgery. If swelling is present in the inguinal region and no testis is found in the scrotum, an ectopic testis should be considered in the differential diagnosis. Preoperatively diagnosing an ectopic, twisted testis by ultrasonography alone is difficult. However, we used ultrasonography effectively to diagnose the ectopic testis preoperatively by tracking the spermatic cord and confirming the torsion of the testis.

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Abdominal wall ectopic testis torsion mimicking a Spigelian hernia in an adult

Cited by 3 publications

References 3 publications

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Ectopic testis: an experience of a tertiary-level urology center at Upper Egypt

Testicular Ectopia in a Child’s Anterior Abdominal Wall: A Case Report and Literature Review

Utility of Ultrasonography for Diagnosing an Ectopic Testis With Torsion: A Case Report

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