Ectopic Scrotum with VACTERL Association

Hasan, Samiul; Mitul, Ashrarur Rahman; Karim, Sabbir

doi:10.21699/jns.v6i2.570

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…Reviewing the literature, we found that most ES were associated with other congenital malformations, but a few of them complicated with VATER/VACTERL syndrome were reported. Spears et al and Hasan et al have reported two patients have ES with VATER association and ES with VACTERL association, respectively ( 14 , 16 ). Some genitourinary abnormalities, such as cryptorchidism and renal hypoplasia, often occur on the ipsilateral side of the ES ( 3 , 4 , 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…Although these papers provide various methods to treat ES, there is no clear guidance as to which operative method is superior. Hasan et al ( 16 ) and Sharma et al ( 17 ) chose to remove the ES and implant the ectopic testis into the normal scrotum. Similarly, Spears et al ( 14 ) removed the ES and transferred a pedicled skin flap from the right scrotum to create a new left scrotum, fixing the left testis in the newly built scrotum.…”

Section: Discussionmentioning

confidence: 99%

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Ectopic scrotum and penoscrotal transposition: Case report and literature review

Huang

Liu²,

Li³

et al. 2023

Front. Pediatr.

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BackgroundEctopic scrotum (ES) is an extremely rare congenital scrotal malformation. Ectopic scrotum with VATER/VACTERL [vertebral defects (V), anal atresia or anorectal malformations (A), cardiac defects (C), tracheoesophageal fistula with or without esophageal atresia (TE), cardiac defects, renal malformations (R), and limb defects (L)] association is even rarer. There are no uniform guidelines for diagnosis and treatment.Clinical caseWe described a 2-year-5-month-old boy who has ectopic scrotum and penoscrotal transposition and reviewed relevant literature in this report. We performed laparoscopy exploration, rotation flap scrotoplasty, and orchiopexy and achieved a great result during the postoperative follow-up.ConclusionsCombined with the previous literature, we made a summary to come up with a plan for the diagnosis and treatment of ectopic scrotum. Rotation flap scrotoplasty and orchiopexy are worthy of considering operative methods in treating ES. For penoscrotal transposition or VATER/VACTERL association, we can treat the diseases individually.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ectopic scrotum and penoscrotal transposition: Case report and literature review

Huang

Liu²,

Li³

et al. 2023

Front. Pediatr.

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“…Ectopic scrotum is a rare entity within pediatric urology. It may occur in an isolated fashion or most often associated with other congenital pathologies such as ipsilateral urological malformations, anorectal malformations, bladder exstrophy, or inguinal hernia, among others (3,4) .…”

Section: Discussionmentioning

confidence: 99%

Buried penis secondary to ectopic scrotum

Bautista¹,

Ortiz²,

Burgos³

et al. 2022

Cir Pediatr

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Introduction. Ectopic scrotum is a rare clinical entity, potentially associated with other congenital abnormalities. We present the case of a patient with buried penis secondary to ectopic scrotum. The surgical technique was described, and a literature review was carried out.Clinical case. 1-year-old patient with ectopic right hemiscrotum and the testes within the scrotal sac. A double Z-plasty was performed with two flaps -one above the penis, surrounding the ectopic scrotum, and the other one at the scrotum to modify the bifid scrotum. The upper flap was rotated downwards, which allowed ectopy to be repaired, and the lower flap was used to repair bifidity. No postoperative complications were recorded. Follow-time was 6 months, with good final cosmetic results.Discussion. Ectopic scrotum is an infrequent congenital malformation. Cutaneous rotation flaps with Z-plasties are a valid treatment option, with good long-term cosmetic results.

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