Rare case of transverse testicular ectopia – Case report and review of literature

Raj, Vinod; Redkar, Rajeev; Krishna, Swathi; Tewari, Shruti

doi:10.1016/j.ijscr.2017.09.032

Cited by 26 publications

(27 citation statements)

References 19 publications

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“…Unfortunately, the overall occurrence of malignant transformation is 18%, which is nearly equal to that of abdominal testes in otherwise normal men [8]. Among the tumors which were reported with PMDS are seminoma, embryonal carcinoma, yolk sac tumor and teratoma.…”

Section: Discussionmentioning

confidence: 98%

Transverse testicular ectopia with Müllerian duct remnant in an incarcerated congenital inguinal hernia – a case report

2020

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Background: Transverse testicular ectopia (TTE) is a rare anomaly characterized by both testes descending through a single inguinal canal. In this report, the diagnosis of TTE was discovered in the event of an incarcerated congenital inguinal hernia in a neonate. Case presentation: We present a case of TTE accompanied by persistent Müllerian duct structures (PMDS) that had been discovered incidentally during inguinal exploration of a 26-day-old boy who presented with an incarcerated congenital inguinal hernia on the right side and left cryptochidism on the left side. The pathogenesis, approach and proposed management of TTE are discussed. Conclusion: TTE is an extremely rare anomaly, especially in neonates, and should be suspected in patients presenting with inguinal hernia on one side and cryptorchidism on the other side.

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Section: Discussionmentioning

confidence: 98%

Transverse testicular ectopia with Müllerian duct remnant in an incarcerated congenital inguinal hernia – a case report

2020

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“…In 2015, Bascuna et al proposed a treatment algorithm which included extensive mobilization of the vas and the spermatic vessels to allow for transseptal fixation [17]. This was subsequently challenged by Raj et al in 2017 who argued for a less aggressive approach taking into consideration the length of the vas and even settling with a fixation in the same hemiscrotum without jeopardizing striping the testis off its vascular supply [18].…”

Section: Discussionmentioning

confidence: 99%

A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain

Gkekas

Symeonidis

Tsifountoudis

et al. 2018

Case Reports in Urology

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Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we present a case of a 19-year-old patient with persistent left testicular pain lasting for a week. Clinical examination revealed an empty right hemiscrotum, a normal left-sided descended testis, and in close proximity a mass-like structure resembling testicular parenchyma. Laboratory tests were significant for elevated follicle-stimulating hormone (FSH), while sperm count revealed azoospermia. Ultrasound imaging (US) of the scrotum demonstrated the presence of both testes in the same left hemiscrotum with varicocele and no signs of inguinal hernia. Magnetic resonance imaging (MRI) of the penis and scrotum revealed TTE with a single, fused vas deferens, and hypoplastic seminal vesicles. Surgical intervention by means of microsurgical sperm retrieval and transseptal orchidopexy were considered but not performed, primarily owing to the patient's unwillingness and to a lesser extent due to the restriction that the short and fused vas would pose in an attempt to transpose the ectopic testis. Therefore, an annual follow-up was recommended.

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“…Perineal ectopic testis is the commonest form of the non-inguinal testicular ectopia. An observation has been made from the reported cases in the literature and the current series that the perineal testis presents in a relatively older age than the other variants [13,14,25]. This finding could be attributed to the anatomical nature of the perineum where it could be missed on physical examination at early presentation.…”

Section: Discussionmentioning

confidence: 58%

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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Rare case of transverse testicular ectopia – Case report and review of literature

Cited by 26 publications

References 19 publications

Transverse testicular ectopia with Müllerian duct remnant in an incarcerated congenital inguinal hernia – a case report

Transverse testicular ectopia with Müllerian duct remnant in an incarcerated congenital inguinal hernia – a case report

A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain

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

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