Cystic Dysplasia of the Rete Testis Accompanying an Inguinal Hernia: A 63-Year-Old Man

Kang, Kitaek; Cho, Dae Yeon; Park, Min Gu; Yeo, Jeong Kyun

doi:10.4111/kju.2011.52.7.502

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…Benign conditions include cystic dysplasia, testicular epidermoid cysts, simple testicular cysts, tunica albuginea cysts, and intra-testicular varicoceles. Malignant conditions which mimic TERT on imaging mainly include mature cystic teratomas, papillary adenocarcinomas of the rete testis, and metastatic tumors within the ducts of the epididymis (Table 2) [1,[8][9][10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

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Bilateral Ductal Ectasia of the Rete Testis: A Case Report and Literature Review

Omer¹,

Engelman²,

Krauthamer³

et al. 2017

Reprod Syst Sex Disord

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A 58-year-old male presented to the emergency department with right scrotal pain and swelling. The patient's past medical history of epididymitis was unraveled. A multiplanar grayscale sonogram with Doppler scan of the scrotum and intra-testicular arterial pulse waveform was performed which demonstrated features of tubular ectasia of the rete testis. There was increased flow at the epididymal head which prompted the possibility of an inflammatory process consequently antibiotic therapy was administered. Tubular ectasia of the rete testis is a benign condition usually found incidentally, it has a prevalence of 1.64% in the population. This condition can be associated with a history of trauma, surgery, and inflammatory or infectious conditions. In case there is a suspicion of malignant etiology, magnetic resonance imaging (MRI) is used for better tissue differentiation. Keywords: Scrotal pain; Doppler scan; Epididymal head; Testes Case ReportA 58-year-old male presented to the emergency department with right scrotal pain and swelling. The pain was severe, gradually progressive, radiated to the groin, and worsened with touch and movement. There was associated bilateral scrotal swelling and dysuria without fever, rash, or penile discharge. Our patient reported recurrent similar but less severe symptoms, as well as a history of epididymitis two years before presentation. A multiplanar grayscale ultrasound with color Doppler of the scrotum and intra-testicular arterial pulse wave was performed, which demonstrated normal homogenous echotexture bilaterally with no evidence of intra-testicular masses. Both testes demonstrated grossly symmetric color Doppler flow with normal intra-testicular arterial waveforms. A small anechoic left epididymal head cyst without evidence of a hydrocele was visualized (Figures 1 and 2). There were right and left tubular anechoic lesions located at the mediastinum testis, more prominent on the right, consistent with tubular ectasia of the rete testes. The right epididymal head demonstrated asymmetric increased color Doppler flow compared to the left, consistent with an inflammatory or infectious process.

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Section: Discussionmentioning

confidence: 99%

“…Cystic Dysplasia [1,8,9] A condition suspected to be of congenital etiology due to its frequent presentation in children and association with genitourinary anomalies. Ultrasound demonstrates numerous anechoic lesions located centrally at the mediastinum testis.…”

Section: Benign Conditionsmentioning

confidence: 99%

Bilateral Ductal Ectasia of the Rete Testis: A Case Report and Literature Review

Omer¹,

Engelman²,

Krauthamer³

et al. 2017

Reprod Syst Sex Disord

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show abstract

“…Fewer cases are associated with urethral stenosis [23], ectopic ureter draining into seminal vesicle [24], ipsilateral renal agenesis and contralateral crossed ectopia [25], renal adysplasia and VACTER association (ipsilateral vertebra1/ana1/cardiac/trachea1/esophagea1/radius/renal anomalies) [26]. In isolated pediatric [27] and adult [28] cases, renal anomalies have not been observed.…”

Section: Cystic Dysplasia Of the Rete Testismentioning

confidence: 99%

Perspectives in Pediatric Pathology, Chapter 11. Testicular Pathology of Hamartomatous Origin

et al. 2016

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The term hamartoma was coined by Albrecht in 1904 from the Greek mart-ánv, to go wrong [1]. Hamartoma is currently used to name nonneoplastic lesions composed of disorganized tissue indigenous to the site where it is found. In the testis, this refers to abnormal/excessive development of structures that usually form part of the gonadal parenchyma, epididymis, or spermatic cord. We include the following as hamartomatous lesions of the testis and sperm excretory ducts: cystic dysplasia of the rete testis, rete testis hamartomas, fetal gonadoblastoid testicular dysplasia (FGTD), Sertoli cell nodules, tubular hamartomas, congenital testicular and epididymal lymphangiectasis, and smooth muscle hyperplasia of paratesticular structures. These hamartomas are always benign, but their importance resides in their association with specific disorders, or as markers of complex syndromes.

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Congenital Cystic Pathology of the Rete Testis

Nistal¹,

González‐Peramato

Serrano

2017

Clues in the Diagnosis of Non-Tumoral Testicular Pathology

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Cystic Dysplasia of the Rete Testis Accompanying an Inguinal Hernia: A 63-Year-Old Man

Cited by 4 publications

References 9 publications

Bilateral Ductal Ectasia of the Rete Testis: A Case Report and Literature Review

Bilateral Ductal Ectasia of the Rete Testis: A Case Report and Literature Review

Perspectives in Pediatric Pathology, Chapter 11. Testicular Pathology of Hamartomatous Origin

Congenital Cystic Pathology of the Rete Testis

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