Transvers testicular ectopia: A case report and literature review

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Highlights

•

TTE associated with PMDS is a rare case which is incidentally discovered during surgery of undescended testis.
•

Early diagnosis and treatment is necessary to prevent malignancy.
•

Follow-up for fertility assessment in the latter years should be counselled.

Abstract

İntroduction

Transverse testicular ectopia (TTE) is a rare anomaly characterized by the presence of both testicles in the same hemiscrotum or inguinal region. The most common clinical findings of TTE are unilateral nonpalpable testis in the scrotum and inguinal hernia on the side of palpable testis in the scrotum. It should be kept in mind that TTE may coexist with Persistent Mullerian Duct Syndrome (PMDS). Therefore, appropriate treatment should be performed considering PMDS.

Presentation of case

Type 2 transverse testicular ectopia was diagnosed in one patient who was operated with bilateral undescended testis. He was treated with transseptal orchiopexy and excision of mullerian structures.

Discussion

In case of TTE with PMDS, optimal surgical approach with orchiopexy and excision of Müllerian duct is necessary. Intraoperative aggressive dissection of vas deferens and testicular vessels should be avoided in TTE patients. They should be closely followed because of the increased risk of malignant transformation in the postoperative period.

Conclusion

An investigation of transvers testicular ectopia should be performed in all nonpalpable undescended testis anomalies.

Related collections

Most cited references 18

Record: found
Abstract: found
Article: not found

Persistent Müllerian duct syndrome: lessons learned from managing a series of eight patients over a 10-year period and review of literature regarding malignant risk from the Müllerian remnants.

Jasmin Farikullah, Sarah Ehtisham, Simona Nappo … (2012)

Study Type--Therapy (case series) Level of Evidence 4. What's known on the subject? and What does the study add? Approximately 200 cases of persistent Müllerian duct syndrome have been reported over the last 50 years and most authors suggest leaving the Müllerian remnant in situ because of the difficulty in dissection and the presumed absence of risk of malignancy. However, with increasing reports of Müllerian malignancies emerging, we report our 10-year experience of managing patients with persistent Müllerian duct syndrome, with removal of müllerian remnants. This case series shows that there is an increased risk of Müllerian malignancy that was previously unknown. With the laparoscopic approach, orchidopexy with simultaneous removal of Müllerian remnants could be accomplished with minimal surgical trauma and the benefit of no malignancy risk in the future. This is a new technique that has not been previously performed. Considering the current evidence of malignancy in the Müllerian remnant, surgeons would need to discuss with families about removal of remnants or long-term monitoring.

0 comments Cited 47 times – based on 0 reviews      Review now

Record: found
Abstract: found
Article: not found

Transverse testicular ectopia.

Michael Gauderer, Enrique R. Grisoni, Thomas Stellato … (1982)

In transverse or crossed testicular ectopia, the affected gonad lies in the same canal as the normally descended testis. During a 5-yr span, three children with this form of ectopia were seen. All presented with a symptomatic right inguinal hernia and an empty scrotum on the left side. The ages at operation were 1, 3, and 5 mo. Only the first patient was reoperated. In this child, the diagnosis of transverse testicular ectopia was made during the herniorrhaphy and the ectopic, but otherwise normal, gonad returned to the abdominal cavity. A subsequent left orchidopexy through a celiotomy was done. In the last two patients, the correct diagnosis was made preoperatively. Both gonads were of equal size and normal, occupying the same hemiscrotum. A herniorrhaphy with fixation of the ectopic gonad to the opposite hemiscrotum was done in both. All three children are otherwise normal. Cases collected from the literature are discussed. The condition should be suspected if a unilateral hernia is associated with a contralateral, nonpalpable testis and may not be as rare as formerly thought.

0 comments Cited 31 times – based on 0 reviews      Review now

Record: found
Abstract: found
Article: not found

Transverse testicular ectopia detected by MR imaging and MR venography.

Wendy Wai-Man Lam, Simon Dat Van Le, Kwong-Leung Chan … (2002)

Crossed testicular ectopia is a rare anomaly, characterised by migration of one testis towards the opposite inguinal canal. In most reported cases, the correct diagnosis was not made pre-operatively. We report a case of transverse testicular ectopia diagnosed pre-operatively with MRI. MRI and MR venography demonstrated unilateral location of both testes in the right inguinal canal, which was confirmed by surgery. We provide a brief literature review of transverse testicular ectopia and the imaging of undescended testis.

0 comments Cited 17 times – based on 0 reviews      Review now

All references

Author and article information

Contributors

Tural Abdullayev

Mevlit Korkmaz

Journal

Journal ID (nlm-ta): Int J Surg Case Rep

Journal ID (iso-abbrev): Int J Surg Case Rep

Title: International Journal of Surgery Case Reports

Publisher: Elsevier

ISSN (Electronic): 2210-2612

Publication date PMC-release: 12 November 2019

Publication date Collection: 2019

Publication date (Electronic): 12 November 2019

Volume: 65

Pages: 361-364

Affiliations

[a ]Department of Pediatric Surgery, Medical Park Gebze Hospital, Güzeller, Kavak Cd. No: 5, 41400 Gebze, Kocaeli, Turkey

[b ]Department of Pediatric Surgery, EMSEY Hospital, Çamlık Mah, Selçuklu Cad. No: 22 Pendik, İstanbul, Turkey

Author notes

[* ]Corresponding author at: Medical Park Gebze Hospital, 41400, Gebze, Kocaeli, Turkey. dr.abdullayev@ 123456hotmail.com

Article

Publisher ID: S2210-2612(19)30641-8

DOI: 10.1016/j.ijscr.2019.11.007

PMC ID: 6920318

PubMed ID: 31786469

SO-VID: 13fc8a0f-4d83-4e07-a5a0-06f2833f9e67

License:

This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

History

Date received : 1 October 2019

Date revision received : 1 November 2019

Date accepted : 4 November 2019