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

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Chrysovalantis Gkekas ◽  
Evangelos N. Symeonidis ◽  
Ioannis Tsifountoudis ◽  
Christos Georgiadis ◽  
Vasileios Kalyvas ◽  
...  
Keyword(s):  
Vas Deferens ◽  
Sperm Count ◽  
Incidental Finding ◽  
Sperm Retrieval ◽  
Testicular Pain ◽  
Transverse Testicular Ectopia ◽  
Ectopic Testis ◽  
Close Proximity ◽  
Magnetic Resonance Imaging Mri ◽  
Testicular Ectopia

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.

scholarly journals Transverse testicular ectopia with fused vas deferens

2021 ◽  
Vol 65 ◽  
pp. 101763
Author(s):  
Turyalai Hakimi ◽  
Maiwand Nijrabi ◽  
Khalid M-Qasem ◽  
Gh-Sakhi Hassani
Keyword(s):  
Vas Deferens ◽  
Transverse Testicular Ectopia ◽  
Testicular Ectopia

scholarly journals Triorchidism: presenting as undescended testis in a case of indirect inguinal hernia

2016 ◽  
Vol 6 (2) ◽  
Author(s):  
Ajay H. Bhandarwar ◽  
Saurabh S. Gandhi ◽  
Chintan B. Patel ◽  
Amol N. Wagh ◽  
Virendra Gawli ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Undescended Testis ◽  
Vas Deferens ◽  
Recent Literature ◽  
Sperm Count ◽  
Semen Analysis ◽  
Indirect Inguinal Hernia ◽  
Left Testis ◽  
Ectopic Testis

Triorchidism is the commonest variety of polyorchidism, an entity with more than two testis is an extremely rare congenital anomaly of the testis. Although excision of the abnormal testis is a safer alternative proposed, recent literature suggests more conservative approach in normal testes with watchful regular follow up to screen for malignancy. This case presented as a left inguinal swelling diagnosed as indirect left inguinal hernia. The left side testis was of smaller size (about half) with normal sperm count, morphology and motility. Intraoperatively indirect inguinal hernia was noted with supernumerary testis at deep ring in addition to normal left testis in left scrotal sac. The ectopic testis were small (2.5×2.5×1 cm) lacking epididymis and with short vas deferens. An evident normal semen analysis and varied anatomy, the decision for orchidectomy of ectopic testis was taken. The histopathological finding was consistent with arrest in germ cell development.

scholarly journals A case of ectopic testis: an intraoperative enigma instead of a diagnostic enigma

2018 ◽  
Vol 5 (3) ◽  
pp. 1127
Author(s):  
Veershetty S. D. ◽  
Manjunath K. ◽  
O. G. Prakash ◽  
K. S. Hanumanthaiah ◽  
Rajagopalan S.
Keyword(s):  
Normal Male ◽  
Mullerian Duct ◽  
Bilateral Hernia ◽  
Inguinal Herniorrhaphy ◽  
Müllerian Duct ◽  
Transverse Testicular Ectopia ◽  
Ectopic Testis ◽  
Inhibiting Factor ◽  
Bilateral Cryptorchidism ◽  
Testicular Ectopia

Author present a case of persistent mullerian duct syndrome with transverse testicular ectopia with bilateral hernia uteri inguinalis in a 17 years old boy. This is a rare congenital anomaly and an uncommon form of male pseudo-hermaphroditism characterized by the persistence of well-developed Mullerian duct structures in an otherwise normal male with a 46 XY karyotype. Transverse testicular ectopia (TTE) is one of the rarest forms of testicular ectopia. In this condition, both testes are located on one inguinal side and the opposite inguinal canal and scrotum are empty. TTE associated with PMDS is much rarer. The exact cause of PMDS is uncertain. However, it is thought to result from the failure of synthesis or release of Mullerian inhibiting factor (MIF), the failure of end organs to respond to MIF, or a defect in the timing of the release of MIF. Patients with PMDS present with unilateral or bilateral cryptorchidism and an inguinal hernia containing a fallopian tube, uterus and testis. The case was diagnosed on doing diagnostic laparoscopy followed by bilateral inguinal herniorrhaphy and right Orchidectomy. 

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

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Sudhakar Pitchumani ◽  
Elamparidhi Padmanaban ◽  
Yash Kumar Achantani ◽  
Rajasree Dhinadhayalan ◽  
Avinesh Varadane
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Inguinal Hernia ◽  
Seminal Vesicle ◽  
Vas Deferens ◽  
Wide Spectrum ◽  
Left Testis ◽  
Rare Congenital Anomaly ◽  
Transverse Testicular Ectopia ◽  
Testicular Ectopia

Abstract 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.

Transverse testicular ectopia with supernumerary vas deferens and cyst of the ejaculatory duct

Urology ◽  
2001 ◽  
Vol 58 (3) ◽  
pp. 462 ◽  
Author(s):  
René Yiou ◽  
Thierry Lebret ◽  
Pierre Marie Lugagne ◽  
Vincent Molinié ◽  
Jean-Marie Hervé ◽  
...  
Keyword(s):  
Vas Deferens ◽  
Ejaculatory Duct ◽  
Transverse Testicular Ectopia ◽  
Testicular Ectopia

scholarly journals Five different cases of ectopic testes in children: a self-experience with literature review

2019 ◽  
Vol 2 (3) ◽  
pp. e000068 ◽  
Author(s):  
Ali Egab Joda
Keyword(s):  
Abdominal Wall ◽  
Undescended Testis ◽  
Anterior Abdominal Wall ◽  
Contralateral Side ◽  
Transverse Testicular Ectopia ◽  
Ectopic Testis ◽  
Spontaneous Correction ◽  
Impalpable Testis ◽  
Retractile Testis ◽  
Testicular Ectopia

BackgroundEmpty scrotum may be due to many reasons; besides true undescended testis these are monorchia, retractile testis, atrophy of testis due to torsion and ectopic testis. The location of testis in an aberrant site after passing through the inguinal canal and leaving it via external ring is a condition called ectopic testis. The most common aberrant locations of ectopic testes are superficial inguinal pouch (Denis Browne pouch), within anterior abdominal wall, perineum, femoral canal, contralateral scrotum (transverse testicular ectopia) and prepenile area.MethodsDescription of management of five different cases of ectopic testes over a period of 10 years’ experience in pediatric surgery have been done with review of the literature about this rarity.ResultsFive different cases of ectopic testes were as follows: infants 3 months of age with right ectopic testis in anterior abdominal wall near anterior superior iliac spine, 4 months of age with left perineal testis, 6 months of age with an ectopic femoral testis on left side, 8 months of age with transverse testicular ectopia on left side and 10 months of age with right true undescended testis and left perineal testis.ConclusionsSearch for ectopic sites of testes should always be in mind during examination of patients with empty scrotum. Early surgical repair of ectopic testes is recommended, as there is no chance of spontaneous correction to the normal location. Long-term follow-up is necessary due to relatively high incidence of infertility and malignant transformation. Surgeons should be aware of the rare possibility of transverse testicular ectopia in cases of inguinal hernia with impalpable testis on the contralateral side.

scholarly journals Transverse testicular ectopia with a blind ending vas deferens

2016 ◽  
Vol 32 (4) ◽  
pp. 317 ◽  
Author(s):  
AnjanKumar Dhua ◽  
Abhimanyu Varshney ◽  
Veereshwar Bhatnagar
Keyword(s):  
Vas Deferens ◽  
Transverse Testicular Ectopia ◽  
Blind Ending ◽  
Testicular Ectopia

scholarly journals Transverse testicular ectopia - case report

2004 ◽  
Vol 132 (11-12) ◽  
pp. 438-440 ◽  
Author(s):  
Dragoljub Zivanovic ◽  
Andjelka Slavkovic ◽  
Jelica Madic ◽  
Dejan Novakovic
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Inguinal Canal ◽  
Femoral Nerve ◽  
Treatment Modalities ◽  
Left Groin ◽  
Transverse Testicular Ectopia ◽  
Ectopic Testis ◽  
The Right ◽  
Testicular Ectopia

Transverse testicular ectopia is an extremely rare anomaly, characterized by migration of one testis towards the opposite inguinal canal, usually associated with inguinal hernia. Spermatic cord of the ectopic testis originates from the appropriate side. In most reported cases, the accurate diagnosis has not been made before surgery. This is a case report of transverse testicular ectopia in eleven-year-old boy who had undergone an operation for the left inguinal hernia in age often months. At the time of herniorrhaphy, the right testis was absent. Ten years later, during re-operation of the left inguinal hernia, both testis were found in left inguinal canal and easily brought down sequentially through the left groin into the scrotum. The right testis was fixed in the left hemiscrotum, due to shorter funicular elements, and the left was trans-septally moved to the right hemiscrotum (a modified Ombr?danne operation). Ultrasonography and voiding cystoureterography showed no associated genitourinary anomalies and no M?lerian duct remnants. The rupture of gubernaculum and dysfunction of the genito-femoral nerve could explain the etiology of crossed testis ectopia. Although ectopic testis could be localized preoperatively by ultrasonography, CT, MRI, arteriography and venography, correct diagnosis was made intraoperatively in the majority of cases. Treatment modalities include laparoscopic and surgical procedures. Atrophie testis should be removed. If testes are fused, they have to be brought into one hemiscrotum. In cases where testes are completely separated with individual funicular elements and vas deferens, an ipsilateral or contralateral orchiopexy should be performed depending on the length of funicular elements.

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