Crossed Ectopia of the Left Testis Detected on MRI

Gothi, Rajesh; Aggarwal, Bharat

doi:10.2214/ajr.05.2145

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…2 It is characterized by the presence of both testicles in the same sac or inguinal duct with each testicle preserving its normal irrigation derived from its native gonadal vessel, therefore being a position anomaly. 1 This rare condition was described by Von Lenhossek 3 in 1886 and thereafter by Halstead 4 in 1907. From a clinical point of view, it is usually associated with an inguinal hernia or cryptorchidism.…”

Section: Discussionmentioning

confidence: 96%

“…6 According to the clinical presentation and accompanying anomalies, it can be classified as follows: (1) rudimentary structures of the müllerian duct (30%), or (3) associated with other anomalies without persistence of the müllerian duct, such as pseudohermaphroditism, inguinal hernias, hypospadias, and scrotal anomalies (20%). 1 Renal dysgenesis with ureteropelvic obstruction have also been described. 6 It is a rare disease, with fewer than 100 published cases and only as case reports.…”

Section: Discussionmentioning

confidence: 99%

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Crossed Testicular Ectopia

Pinto

Toro²,

Mansilla³

et al. 2010

Journal of Ultrasound in Medicine

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Crossed Testicular Ectopia

Pinto

Toro²,

Mansilla³

et al. 2010

Journal of Ultrasound in Medicine

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“…MRI and MRV is the fundamental imaging modality in the diagnosis of TTE with 82.4% and 100% sensitivity, respectively [10], as it can provide us with the pre-operative location of the impalpable testes, intricate analysis of vas deferens and seminal vesicle, and thus helping us in the decision-making of the required surgical technique. It is also useful in distinguishing TTE from testicular duplication [11]. Laparoscopy provides both diagnosis and management of TTE and its associated anomalies [12].…”

Section: Discussionmentioning

confidence: 99%

Transverse testicular ectopia with inguinal hernia in an adult—a case report

Pitchumani

Padmanaban

Achantani

et al. 2021

Egypt J Radiol Nucl Med

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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.

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