Bilateral ectopic femoral testes: A rare cause of empty scrotum

Iliodromiti, Zoe; Karapati, Eleni; Sokou, Rozetta; Boutsikou, Τheodora; Iacovidou, Nikoletta; Salakos, Christos

doi:10.1016/j.eucr.2020.101348

Cited by 1 publication

(4 citation statements)

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“…There are numerous theories for the pathogenesis of PET, including congenital obstruction of the secondary external inguinal ring and the subsequent migration of the testis to the perineal pouch ( 12 ), abnormal interplay between androgen and calcitonin gene-related peptide release from the genitofemoral nerve ( 10 ) and aberrant gubernacular stabilization caused by an anomaly at the distal extremity of the gubernaculum ( 11 ). These factors may also lead to the occurrence of femoral and penile ectopic testis ( 2 , 13 ). The cases reported in the present study were admitted to the hospital due to an abnormal perineal mass and were diagnosed with PET following preoperative examination.…”

Section: Discussionmentioning

confidence: 99%

“…Due to this complexity, TTE is often misdiagnosed as simple cryptorchidism, testicular tumor and single testis deformity. The presence of ectopic masses can be detected by imaging diagnostic techniques, but the specific nature of the masses cannot be clearly defined in most cases ( 2 ). Therefore, the diagnosis of TTE is often made intraoperatively during inguinal hernia repair ( 22 ).…”

Section: Discussionmentioning

confidence: 99%

“…TE is a rare anomaly characterized by the testes lying outside the normal descent route (retroperitoneum to the scrotum). There are several variants of TE, including perineal ectopic testis (PET), femoral and penile ectopic testis, transverse TE (TTE) and preperitoneal and anterior abdominal wall ectopic testis ( 2 ). PET is the most common variant ( 3 ); in this case, the testis is located in the perineal region, with its final position often being further from the groin than a scrotal testis, and is covered by a perineal fat pad rather than being within the low-temperature environment of the scrotum.…”

Section: Introductionmentioning

confidence: 99%

“…The early diagnosis and surgical treatment of ectopic testes facilitate normal development of the genitourinary system and prevent complications. Ultrasonography, laparoscopy and magnetic resonance imaging (MRI) have been used for the diagnosis of this condition ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

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Testicular ectopia: A case report

Chen

Guo

et al. 2023

Exp Ther Med

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This paper mainly describes three cases of children with ectopic testis, of which two patients with transverse testicular ectopia (TTE) and one with perineal ectopic testis (PET). All patients who underwent orchidopexy at the same pediatric surgical unit in the Affiliated Hospital of Jining Medical University (Jining, China) between June 2010 and February 2021 were retrospectively evaluated (age range, 14-34 months). A total of two patients (67%) was admitted with asymptomatic unilateral inguinal masses and the contralateral testis missing; the first patient was diagnosed with TTE intraoperatively, whereas the other patient was diagnosed with TTE through physical examination and ultrasound preoperatively. The third patient (33%) was admitted with the right testis missing and a left perineal mass, which was confirmed using PET by physical and ultrasound examination before the operation. The first two patients underwent transseptal orchidopexy, whereas the third patient underwent simple orchidopexy. Postoperative complications were not observed (follow-up, 10-24 months). The low incidence and poor understanding of ectopic testis compels us to report our findings and further discuss this particular disease of testicular ectopia, including its pathogenesis, diagnostic and treatment options.

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