Transverse testicular ectopia with inguinal hernia in an adult—a case report
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 (P...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-06-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
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| Online Access: | https://doi.org/10.1186/s43055-021-00531-z |
| _version_ | 1819062525109469184 |
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| author | Sudhakar Pitchumani Elamparidhi Padmanaban Yash Kumar Achantani Rajasree Dhinadhayalan Avinesh Varadane |
| author_facet | Sudhakar Pitchumani Elamparidhi Padmanaban Yash Kumar Achantani Rajasree Dhinadhayalan Avinesh Varadane |
| author_sort | Sudhakar Pitchumani |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-21T15:00:10Z |
| format | Article |
| id | doaj.art-71175f5cfb9a4a809eb8bb75ac60b74c |
| institution | Directory Open Access Journal |
| issn | 2090-4762 |
| language | English |
| last_indexed | 2024-12-21T15:00:10Z |
| publishDate | 2021-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-71175f5cfb9a4a809eb8bb75ac60b74c2022-12-21T18:59:37ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622021-06-015211410.1186/s43055-021-00531-zTransverse testicular ectopia with inguinal hernia in an adult—a case reportSudhakar Pitchumani0Elamparidhi Padmanaban1Yash Kumar Achantani2Rajasree Dhinadhayalan3Avinesh Varadane4Sri Manukula Vinyagar Medical CollegeSri Manukula Vinyagar Medical CollegeSri Manukula Vinyagar Medical CollegeSri Manukula Vinyagar Medical CollegeSri Manukula Vinyagar Medical CollegeAbstract 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.https://doi.org/10.1186/s43055-021-00531-zAbsent testisUndescendent testisTransverse testicular ectopiaCrossed testicular ectopiaTranseptal orchidodpexy |
| spellingShingle | Sudhakar Pitchumani Elamparidhi Padmanaban Yash Kumar Achantani Rajasree Dhinadhayalan Avinesh Varadane Transverse testicular ectopia with inguinal hernia in an adult—a case report The Egyptian Journal of Radiology and Nuclear Medicine Absent testis Undescendent testis Transverse testicular ectopia Crossed testicular ectopia Transeptal orchidodpexy |
| title | Transverse testicular ectopia with inguinal hernia in an adult—a case report |
| title_full | Transverse testicular ectopia with inguinal hernia in an adult—a case report |
| title_fullStr | Transverse testicular ectopia with inguinal hernia in an adult—a case report |
| title_full_unstemmed | Transverse testicular ectopia with inguinal hernia in an adult—a case report |
| title_short | Transverse testicular ectopia with inguinal hernia in an adult—a case report |
| title_sort | transverse testicular ectopia with inguinal hernia in an adult a case report |
| topic | Absent testis Undescendent testis Transverse testicular ectopia Crossed testicular ectopia Transeptal orchidodpexy |
| url | https://doi.org/10.1186/s43055-021-00531-z |
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