Abnormal descent of the testis and its complications: A multimodality imaging review

Cryptorchidism refers to an absence of the testis in the scrotal sac. Testicular descent occurs in two stages: transabdominal and gubernacular. The descent of the testis can be arrested in its usual path of descent (true undescended testis) or can migrate from the usual path of descent (ectopic test...

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Main Authors: Pankaj Nepal, Devendra Kumar, Vijayanadh Ojili
Format: Article
Language:English
Published: AOSIS 2018-09-01
Series:South African Journal of Radiology
Subjects:
Online Access:https://sajr.org.za/index.php/sajr/article/view/1374
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author Pankaj Nepal
Devendra Kumar
Vijayanadh Ojili
author_facet Pankaj Nepal
Devendra Kumar
Vijayanadh Ojili
author_sort Pankaj Nepal
collection DOAJ
description Cryptorchidism refers to an absence of the testis in the scrotal sac. Testicular descent occurs in two stages: transabdominal and gubernacular. The descent of the testis can be arrested in its usual path of descent (true undescended testis) or can migrate from the usual path of descent (ectopic testis). Localising the missing testis is important for surgical planning, as well as for identification of complications that are more common with cryptorchidism. Ultrasound is the initial imaging modality to visualise, as well as localise the testis in cryptorchidism. However, ultrasound imaging is limited in visualising testes that are not superficial in location. This article highlights various examples of abnormal descent of the testis in usual as well as unusual locations and complications of undescended testes. Further evaluation with computed tomography scan or magnetic resonance imaging is needed in indeterminate cases and for identification of complications. We have highlighted the role of specific modalities with imaging findings in this pictorial review for the appropriate selection of each modality in clinical practice.
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spelling doaj.art-f0065c1d7c294b75a860df144365e1f32022-12-21T22:56:52ZengAOSISSouth African Journal of Radiology1027-202X2078-67782018-09-01221e1e610.4102/sajr.v22i1.13741034Abnormal descent of the testis and its complications: A multimodality imaging reviewPankaj Nepal0Devendra Kumar1Vijayanadh Ojili2Metropolitan Hospital Center, New York Medical College, New YorkHamad Medical Corporation, DohaDepartment of Radiology, University of Texas Health, San AntonioCryptorchidism refers to an absence of the testis in the scrotal sac. Testicular descent occurs in two stages: transabdominal and gubernacular. The descent of the testis can be arrested in its usual path of descent (true undescended testis) or can migrate from the usual path of descent (ectopic testis). Localising the missing testis is important for surgical planning, as well as for identification of complications that are more common with cryptorchidism. Ultrasound is the initial imaging modality to visualise, as well as localise the testis in cryptorchidism. However, ultrasound imaging is limited in visualising testes that are not superficial in location. This article highlights various examples of abnormal descent of the testis in usual as well as unusual locations and complications of undescended testes. Further evaluation with computed tomography scan or magnetic resonance imaging is needed in indeterminate cases and for identification of complications. We have highlighted the role of specific modalities with imaging findings in this pictorial review for the appropriate selection of each modality in clinical practice.https://sajr.org.za/index.php/sajr/article/view/1374Undescendedectopictestisimagingcomplications
spellingShingle Pankaj Nepal
Devendra Kumar
Vijayanadh Ojili
Abnormal descent of the testis and its complications: A multimodality imaging review
South African Journal of Radiology
Undescended
ectopic
testis
imaging
complications
title Abnormal descent of the testis and its complications: A multimodality imaging review
title_full Abnormal descent of the testis and its complications: A multimodality imaging review
title_fullStr Abnormal descent of the testis and its complications: A multimodality imaging review
title_full_unstemmed Abnormal descent of the testis and its complications: A multimodality imaging review
title_short Abnormal descent of the testis and its complications: A multimodality imaging review
title_sort abnormal descent of the testis and its complications a multimodality imaging review
topic Undescended
ectopic
testis
imaging
complications
url https://sajr.org.za/index.php/sajr/article/view/1374
work_keys_str_mv AT pankajnepal abnormaldescentofthetestisanditscomplicationsamultimodalityimagingreview
AT devendrakumar abnormaldescentofthetestisanditscomplicationsamultimodalityimagingreview
AT vijayanadhojili abnormaldescentofthetestisanditscomplicationsamultimodalityimagingreview