Delayed and Incidental Diagnosis of Transverse Testicular Ectopia

Karakuş, Süleyman Cüneyt; Kilincaslan, Huseyin; Ertaşkın, İdris; Koku, Naim; Deliağa, Hasan

doi:10.5152/balkanmedj.2012.080

Cited by 3 publications

(8 citation statements)

References 10 publications

(7 reference statements)

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“…Type II is accompanied by PMDS (20%–30%). Type III is accompanied by other anomalies such as DSD, hypospadias, scrotal abnormalities, seminal vesicle cysts, common deferent duct, and horseshoe kidney [2, 3, 5–7]. Based on this information, it can be said that our patient is type II TTE.…”

Section: Discussionmentioning

confidence: 76%

“…Development of both testes from the same germinal ridge, early fusion of Wolffian ducts, testicular adherence to mullerian structures, and obstruction of the inguinal ring are suggested as causative in failure of testicular descent. The most widely accepted theory is abnormal attachment of gubernaculum which was proven by experimental studies [3–5, 7,10].…”

Section: Discussionmentioning

confidence: 99%

“…Preoperative diagnosis requires a high level of suspicion. If necessary, imaging methods should be used to support diagnosis [1, 3, 5, 7].…”

Section: Discussionmentioning

confidence: 99%

“…The optimal surgical approach in cases of TTE with PMDS should be protective for vas deferens, and include herniorrhaphy, orchiopexy, or orchiectomy (if the testicle cannot be brought down), excision of mullerian remnants and testicular biopsies [1, 3, 4, 6]. Right and left orchiopexies can be performed by passing through separate inguinal canals from separate groin incisions.…”

Section: Discussionmentioning

confidence: 99%

“…TTE is also called as crossed testicular ectopia, testicular pseudoduplication, unilateral double testis, and transverse aberrant testicular maldescent [3, 4]. Ectopic testis lies in the opposite hemiscrotum, inguinal canal, or deep inguinal ring [1, 2, 7].…”

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confidence: 99%

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Management of Transverse Testicular Ectopia with Persistent Mullerian Duct Syndrome

Cansaran¹

2018

North Clin Istanbul

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According to additional anomalies, transverse testicular ectopia (TTE) is classified into three groups. Type-2 TTE, accompanied by persistent mullerian duct syndrome, constitutes approximately 20% of the patients. Surgical treatment should be planned after careful physical examination, ultrasonography, and genetic/endocrinologic evaluation. Herniorrhaphy, orchiopexy with testicular biopsy, and excision of the mullerian structures are the most appropriate surgical approaches in cases of TTE with persistent mullerian duct syndrome. We aimed to share our approach to the diagnosis and treatment of a patient with type-2 TTE. Possibility of TTE should be kept in mind in children with nonpalpable testis on one side and inguinal hernia on the other side.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

“…Preoperative diagnosis requires a high level of suspicion. If necessary, imaging methods should be used to support diagnosis [1, 3, 5, 7].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Management of Transverse Testicular Ectopia with Persistent Mullerian Duct Syndrome

Cansaran¹

2018

North Clin Istanbul

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Clinical Characteristics, Ultrasonographic Findings, and Treatment of Pediatric Transverse Testicular Ectopia: A 10-Year Retrospective Review

Zhou

Yin

Jiang

et al. 2021

Urology

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OBJECTIVETo evaluate the clinical data, ultrasonic features, treatment, and long-term outcome of transverse testicular ectopia (TTE) in children. METHODSChildren with TTE were enrolled in the study between November 2009 and August 2019 in Shenzhen Children's Hospital in China. Clinical information, including demographic characteristics, clinical manifestations, TTE-associated anomalies, ultrasonographic findings, and surgical procedures, were collected from all patients. Patients were re-evaluated at the end of 4 weeks and 6 months after the operation. RESULTSA total of 16 cases were enrolled and underwent surgeries, all patients had undescended testis with contralateral inguinal hernia. The ultrasonic findings showed two testicles in 15 cases and no testes in 1 case. M€ ullerian ducts remnants were found by laparoscopy in 6 cases or by ultrasound in one case. Sixteen cases were treated with laparoscopy orchidopexy or laparoscopy assisted transseptal orchidopexy-inguinal exploration. After surgery, 16 patients had both testicles in an orthotopic position and with equal size, with normal blood flow. CONCLUSIONTTE should be suspected in patients with nonpalpable undescended testis and contralateral inguinal hernia. The contralateral processus vaginalis sac occurs in all cases of TTE. Ultrasonography is essential for an early diagnosis of TTE. Laparoscopy-assisted surgery is safe, effective, and minimally invasive therapy for TTE. UROLOGY 00: 1−6, 2021.

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Misdiagnosis and mistreatment of transverse testicular ectopia-two case report and review of literature

Yang,

Xie,

Wang

2023

Medicine

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Rationale: Transverse testicular ectopia (TTE) is a rare congenital malformation with a high rate of misdiagnosis and mistreatment before operation, which cannot be diagnosed even during operation due to lack of knowledge. Patient concerns: Two patients with ectopic testes who were misdiagnosed as right inguinal hernia for the first time and underwent surgery. The “ovary” and “testicle” like structures was seen in the right inguinal region during the first operation. After being transferred to our hospital for laparoscopic surgery, it was found that the left spermatic cord and testis were transversely transverted to the right, the left testis was fixed at the right inner ring, and agglomerated soft tissue could be seen in the right inguinal canal, which was suspected to be Muller tube. Diagnoses: Based on preoperative images and intraoperative findings, both cases were diagnosed with Transverse testicular ectopia (TTE). The postoperative pathology report for the second patient revealed the presence of an in situ spermatogenic cell tumor in the ectopic testis. Interventions: Preperitoneal tension-free repair of right inguinal hernia and resection of left cryptorchidism were performed on the 2 patients. Outcomes: Postoperative pathology of the first patient confirmed that the resected specimens contained tubal-like and uterine-like structures. The postoperative pathology of the second patient showed that the resected tissue consists of immature testis, epididymis, uterus and seminal vesicle glands, in which an in situ spermatogenic tumor could be seen in the testicular tissue. Postoperative diagnosis: left transversal testicular ectopia and right indirect inguinal hernia. Lessons: The clinical misdiagnosis and mistreatment rate of TTE is very high. Once the patients with cryptorchidism complicated with inguinal hernia are found in clinic, the possibility of the disease must be considered. For the patients whose cryptorchidism does not descend into the ipsilateral scrotum and it is difficult to diagnose, laparoscopy can be used for both diagnosis and treatment. If a patient has both inguinal hernia and cryptorchidism, it is crucial to rule out a diagnosis of TTE to prevent misdiagnosis and inappropriate treatment.

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Delayed and Incidental Diagnosis of Transverse Testicular Ectopia

Cited by 3 publications

References 10 publications

Management of Transverse Testicular Ectopia with Persistent Mullerian Duct Syndrome

Management of Transverse Testicular Ectopia with Persistent Mullerian Duct Syndrome

Clinical Characteristics, Ultrasonographic Findings, and Treatment of Pediatric Transverse Testicular Ectopia: A 10-Year Retrospective Review

Misdiagnosis and mistreatment of transverse testicular ectopia-two case report and review of literature

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