Transverse testicular ectopia with inguinal hernia – A rare case report

Bhatnagar, Shubhi; Chavan, Shahaji; Bendre, Mahendra

doi:10.1016/j.ijscr.2017.09.034

Cited by 4 publications

(9 citation statements)

References 10 publications

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“…Ultrasound showed no testis echoes on one side of the scrotum and groin, while two testes echoes were observed in the contralateral scrotum, groin, or abdominal cavity. Previous studies have reported that TTE was more common in the contralateral scrotum, and our results are consistent with previous case reports ( 4 ).…”

Section: Discussionsupporting

confidence: 94%

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Diagnostic value of ultrasound in children with transverse testicular ectopia

Zhou

Wang

et al. 2022

Front. Pediatr.

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ObjectiveThe study aimed to investigate the diagnostic value of ultrasound in children’s transverse testicular ectopia (TTE).Materials and methodsWe retrospectively studies all TTE cases diagnosed in our hospital from January 2017 to December 2021. All cases were evaluated by ultrasound examination and compared to physical examination and diagnostic laparoscopy results.ResultsThis study included 14 TTE patients in total, with a median age was 1.08 years. In the 14 TTE, physical examination found 10 TTE cases, of which nine testes were located in the opposite scrotum, one testis was located in the opposite groin, and the other four testes were not observed by physical examination. All cases were diagnosed by preoperative ultrasound, and nine testes were located in the opposite scrotum, two testes were located in the opposite groin, and three testes were located next to the opposite iliac vessel in the abdominal cavity. Preoperative ultrasound showed the ectopic spermatic cord in six cases (6/14, 42.8%) and persistent Müllerian duct syndrome (PMDS) in one case (1/14, 7%). Diagnostic laparoscopy finally confirmed 14 cases of TTE, which was consistent with preoperative ultrasound, and the coincidence rate was 100% (14/14). Among the 14 cases of TTE, diagnostic laparoscopy showed that 12 cases had ectopic spermatic vessels and vas deferens (12/14, 85.7%), and six cases were associated with PMDS (6/14, 42.8%). When TTE was associated with the ectopic spermatic cord and PMDS, the diagnostic performance of diagnostic laparoscopy was better than that of preoperative ultrasound (P < 0.05). The testis volume of the affected side of TTE was less than that of the contralateral testis (P < 0.05).ConclusionUltrasonography is very helpful for the preoperative diagnosis of TTE in children, and it is suitable as a non-surgical method for locating ectopictestis. Preoperative assessment of the exact presence of PMDS is difficult and unclear. This may be related to factors such as pelvic developmental stages in infancy, examination techniques, and atypical imaging findings of PMDS.

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Section: Discussionsupporting

confidence: 94%

“…Previous studies have suggested that the occurrence of TTE is related to persistent Müllerian duct syndrome (PMDS) (4)(5)(6). Children with TTE often present with a scrotal emptiness or a groin mass.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic value of ultrasound in children with transverse testicular ectopia

Zhou

Wang

et al. 2022

Front. Pediatr.

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“…Transverse Testicular Ectopia (TTE) is a congenital abnormality that is characterized by descending the testis through the same inguinal canal toward the hemiscrotum [ 1 ] [ 2 ]. Furthermore, it usually occurs in patients with undescended testes or operated for inguinal hernia [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Transverse Testicular Ectopia is a rare congenital anomaly characterized by the descent of both testes through the same inguinal canal or hemiscrotum [ 1 , 2 ]. Transverse Testicular Ectopia (TTE) is an even rarer occurrence, with an estimated incidence of 1 in every 4 million children [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Even though most cases are diagnosed during childhood, adult cases have also been reported [ 4 ]. The diagnosis is usually discovered incidentally during surgical exploration and by image studies [ 1 , 3 ]. Herion, we reported two cases of Transverse Testicular Ectopia (TTE); we aimed to share our experience and discuss the importance of early prompt diagnosis and appropriate surgical management.…”

Section: Introductionmentioning

confidence: 99%

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Transverse testicular ectopia: two case reports and literature review

Abokrecha,

Sayed,

Syed

et al. 2023

International Journal of Surgery Case Reports

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Familial cross-testicular ectopia: a clinical case report

Akramov,

Isroilov,

Rakhmatullaev

et al. 2024

Vestn. Urol.

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Cross or transverse testicular ectopia is a rare congenital condition of the reproductive system that involves the migration of a testicle into the opposite inguinal canal, along with the presence of an inguinal hernia on the same side as the ectopic testicle. In the modern literature, there are discussions about diagnostic issues, particularly the use of ultrasound scanning and magnetic resonance imaging to diagnose this condition. However, it is the results of laparoscopic examination that determine the most accurate criteria for surgical treatment. Many publications discuss the choice of surgical tactics, including separate transabdominal orchiopexy, with or without laparoscopic assistance; transeptal orchiopexy on both sides of the scrotum; and rare cases of orchiopexy for both testicles on one side of the scrotum. Ultimately, the choice of surgery depends on the individual characteristics and needs of the patient, and the surgeon should make the decision based on these factors. The article describes, for the first time, a case of familial testicular ectopia with bilateral inguinal hernia in siblings who underwent surgery using laparoscopic assistance. The method used was single-trocar laparoscopic access with transscrotal transeptal orchiopexy and simultaneous bilateral puncture of the inguinal ring and suture. During the long-term follow-up period (50 and 20 months after surgery) in both siblings, there were no signs of malformation or atrophy of the gonads.

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Transverse testicular ectopia with inguinal hernia – A rare case report

Cited by 4 publications

References 10 publications

Diagnostic value of ultrasound in children with transverse testicular ectopia

Diagnostic value of ultrasound in children with transverse testicular ectopia

Transverse testicular ectopia: two case reports and literature review

Familial cross-testicular ectopia: a clinical case report

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