Perineal ectopic testis is a rare congenital anomaly seen in approximately 1% of all cases of undescended testes. Malposition of testis in an abnormal location is called ectopic. A ectopic testis is a testicle that, although not an undescended testicle, has taken a nonstandard path through the body and ended up in an unusual location. Practical approach to evaluating testicular status in infants and.
The testes produce the spermatozoa the male reproductive cells. He presented 3 weeks later with a swelling in the shaft of the penis near the glans see fig. Walsh pc, retik ab, vaughan ed jr, wein aj, editors. Cryptorchidism refers to an absence of a testis or testes in the scrotal sac. These testes may be located in subcutaneous tissues within the inner thigh, abdomen, or perineal region. Jun 25, 2009 dear editor, traumatic ectopic testis. Cryptorchidism is the commonest genital malformation in boys with onethird of premature boys being affected and 25% of fullterm boys having at least one undescended testicle. The immense psychologic value of a scrotum containing both testes should not be disregarded. Ectopic pregnancy is the result of a flaw in human reproductive physiology that allows the conceptus to implant and mature outside the endometrial cavity see the image below, which. Ectopic testes are a rare congenital anomaly, differing from undescended testis cryptorchidism in that ectopic testis is a congenitally abnormally located testis, that has descended from the abdominal. A two year and six months old pug was presented to the clinics of department of veterinary gynaecology and obstetrics, veterinary college, bengaluru with a complaint of swelling in the ventral abdomen region, lateral to penis.
Clinical examination revealed an empty right hemiscrotum, a normal leftsided descended testis, and in close proximity a masslike structure resembling testicular parenchyma. During a 5yr span, three children with this form of ectopia were seen. In cryptorchidism from greek kryptos hidden and orchis testis, the testis is not located in the scrotum. The authors investigated this relation using information obtained from comprehensive medical records dating to childhood. During the inguinoscrotal phase of descent, the testis may deviate from the normal path. Without timely diagnosis and treatment, ectopic pregnancy can become a lifethreatening situation. Surasak puvabanditsin 1, eugene garrow 2, dalal taha 1, erik brandsma 1. Perineal ectopic testis is seen approximately in 1% of all cases of undescended testes. This rare entity should be considered in the differential diagnosis of testicular. Transverse testicular ectopia tte with fused vas deferens is an extremely rare clinical entity.
In transverse or crossed testicular ectopia, the affected gonad lies in the same canal as the normally descended testis. Case report a three month old male infant presented with abnormally shaped scrotum. Anatomical blockade rather than endocrine factors has a predominant role in ectopic migration of gubernaculum testis. Cryptorchidism is the most common congenital abnormality of the genitourinary tract. Case report a three month old male infant presented with abnormally shaped scrotum and right testis abnormally placed in a outpouching below and lateral to expected right hemiscrotum. Finally, in the event a testis tumor develops, the organ is in an accessible. Nov 01, 2000 undescended testis or cryptorchidism is the most common genitourinary disorder in boys. Ectopic xenografting of testis is a feasible option for preservation of male fertility and angiogenesis plays a pivotal role in xenograft survival and functionality. A gonad that fails to reach the scrotum and deviates from the normal path of descent is termed an ectopic testis.
A two year and six months old pug was presented to the clinics of department of veterinary gynaecology and obstetrics, veterinary college, bengaluru with a complaint of swelling in the ventral abdomen. Dysregulation of angiogenesisspecific signalling in adult. Pdf on jul 1, 2009, vipul yagnik and others published traumatic ectopic testis find, read and cite all the research you need on researchgate. Diagnosis and treatment of crossed testicular ectopia ncbi. The ectopic location of testis is associated with a number of complications such as trauma, torsion and infertility in bilateral cases. Due to the similarities between meiosis and genomic instability, it has been proposed that activation of. Sep 30, 2019 in cryptorchidism from greek kryptos hidden and orchis testis, the testis is not located in the scrotum. We are reporting two cases of a rare testicular descent anomaly where both patients presented with unilateral inguinal hernia with contralateral nonpalpable. Case series international journal of case reports and. On physical examination and ultrasonography the condition was diagnosed to be ectopic testis or unilateral cryptorchidism. Testicle neoplasms are rare in the cat felis catus. A case presentation with tranverse testicular ectopia cece. We report 2 patients with perineal ectopic testes, in one of them, the condition was bilateral only the 6th case of this variety. Possibility of testicular torsion should be kept in mind while dealing with a patient with ectopic testis who presents with groin pain.
Crossed testicular ectopia cte, an extremely rare congenital anomaly, was first described by lenhossek, the finding of an ectopic testis. It is defined as an abnormal connection between spleen and gonad or mesonephros. Pubopenile ectopic testis is a rare congenital anomaly whose etiopathogenesis is still poorly understood. The ectopic testis is in an aberrant location, such as the base of the penis, the superficial inguinal pouch, the medial aspect of the upper thigh, or the contralateral scrotal sac. Undescended testes are seen in approximately 1% 6% of newborn males. The common sites for ectopic testes are the superficial inguinal pouch, perineum, opposite side of the scrotum, femoral canal, and pubopenile. Indications for urologic consultation include any nonpalpable testis or undescended. Recent evidence suggests that ectopic expression of testis germ cell. A central element in spermatogenesis is meiosis, where chromosomes duplicate and recombine to exchange genetic material. Antenatal diagnosis of perineal ectopic testis can be made ultrasonographically. Pdf diagnosis and treatment of crossed testicular ectopia. In this paper, we report a new case found in a 6monthold infant operated on in west africa for an obstructed right inguinoscrotal hernia.
There was an important point about vas deferens as it was single proximal to the chord, but divided into two in the middle of the chord. A rare variation of transverse testicular ectopia tte in. This is a rare case of ectopic testis transectopia with partially common vas and vessels. Correct localization of the testes is essential because surgical management va.
The undescended testis is more common among preterm, lowbirthweight, and twin infants. Ectopic testis tissue xenografting offers a practical method for understanding the mechanism of spermatogenesis and testicular maturation. Splenogonadal fusion is a rare congenital anomaly that has been encountered in all age groups. Pubopenile ectopic testis is a rare congenital anomaly in which the testis is abnormally situated along the penile shaft or around its root. Ectopic expression of testis germ cell proteins in cancer and. After five minutes the incision given on median raphe of prescrotal area on ectopic testis and the testicle was removed after ligating the spermatic cord. Perineal ectopic testis with unilateral scrotal hypoplasia. Perineal ectopic testis, the most common type of maldescended testis occurs about 1% of the patients 2. Radiologic imaging should be performed to localize the testis and determine its morphology. Disease bioinformatics research of ectopic testis has been linked to cryptorchidism, ectopic tissue, hernia, hernia, inguinal, testicular neoplasms. The physiological implication of an undescended testis is a slight reduction in testosterone. Cryptorchism is an established risk factor for testicular cancer, but the role of age at surgical correction is unclear.
The operative risks are minimal and there appears little. We report a case of splenogonadal fusion which was diagnosed incidentally in a 38yearold man with a history of infertility. Ectopic and undescended testes are probably variants of the same embryopathy and can occur together in a patient with bilateral absent testes, as in case 2 of our series. Case report perineal ectopic testis a rare encounter in. This paper reports a case of a malignant sertoli cell tumour in an ectopic testis of a cat with widespread metastases, namely in the liver. Perineal ectopic testis is a rare form of testicular maldescent. Full text acquired cryptorchidism in an ectopic location. The testicular capsule and pampiniform complex were found to. The testes produce the spermatozoa the male reproductive cells and testosterone the male sex hormone, which is responsible for the secondary sex characters of the male. This technique has been used for the production of mature. Ectopic testis definition of ectopic testis by the free. Testicular dislocation is an uncommon complication, often due to a direct trauma to the fuel tank in motorcycle accident 69. Jun 01, 2009 traumatic ectopic testis traumatic ectopic testis yagnik, vipul 20090601 00. Congenital cryptorchidism is defined as the absence of testicles in the scrotal position since birth.
Sir john hunter, the british anatomist, reported this condition in 1786. After five minutes the incision given on median raphe of prescrotal area on ectopic testis and the testicle was removed after. Finally, in the event a testis tumor develops, the organ is in an accessible position for prompt examination and early treatment. It may refer to an undescended testis, ectopic testis, or an atrophic or absent testis. Traumatic ectopic testis traumatic ectopic testis yagnik, vipul 20090601 00. The authors present an unusual case of acquired testicular ascent in an ectopic location not previously reported in literature and this adds to our current understanding of such a condition. Ectopic testes are a rare congenital anomaly, differing from undescended testis cryptorchidism in that ectopic testis is a congenitally abnormally located testis, that has descended from the abdominal cavity away from the normal path of descent while undescended testis are congenitally abnormally located testis within the normal path of descent. The true undescended testis has stopped along the pathway of normal descent. Possibility of testicular torsion should be kept in mind while dealing with a patient with.
Ijms free fulltext ectopic expression of testis germ. Ectopic expression of testis germ cell proteins in cancer. We released both testes and brought down both of them into scrotum. The physiological implication of an undescended testis is a slight reduction in testosterone production and a decrease in spermatogenesis. The present majority view and the basis of the modern management of testicular retention is that an undescended testis will. Traumatic ectopic testis, anz journal of surgery 10. Abnormal descent of the testis and its complications scielo sa. Pdf congenital undescending testis is a common anomaly of testis, but we had a rare case of ectopic testis. Malposition of testis in an abnormal location is called ectopic testis. Mar 11, 2019 ectopic testis tissue xenografting offers a practical method for understanding the mechanism of spermatogenesis and testicular maturation. Embryology of the testis parks and jameson endocrinology 1463.
Ectopic testis article about ectopic testis by the free. Trauma or associated spastic neuromuscular disorder can be the predisposing factors for torsion in ectopic testes. Jul 19, 2005 crossed or transverse ectopic testis is a rare anomaly of testicular descent. It has been noted that fewer than 100 cases have been reported in the world literature. It is defined as an abnormal connection between spleen and gonad or mesonephros derivatives. We report one case of bilateral pubopenile ectopic testis in a twoyearold child. Sonographic diagnosis of ectopic testis and its surgical. Sep 28, 2017 ectopic pregnancy is the result of a flaw in human reproductive physiology that allows the conceptus to implant and mature outside the endometrial cavity see the image below, which ultimately ends in the death of the fetus.
Most cryptorchid testes are undescended, but some are absent due to agenes. Sep 22, 2010 splenogonadal fusion is a rare congenital anomaly that has been encountered in all age groups. Embryology of the testis medical university of south. Due to the similarities between meiosis and genomic instability, it has been proposed that activation of meiotic programs may drive genomic instability in cancer cells. Traumatic ectopic testis yagnik 2009 anz journal of. A rare variation of transverse testicular ectopia tte in a.
It may be divorced from the epididymis which may lie in the scrotum. Ectopic testis has been recognized cranial to the base of the scrotum with the long axis parallel to the penis. Altered hormonal milieu and dysregulated protein expression. Crossed or transverse ectopic testis is a rare anomaly of testicular descent. Cryptorchism has been strongly and consistently related to risk of testicular cancer, with more than a.
Ectopic testis definition of ectopic testis by medical. Absent testis an absent testis may be due to agenesis or atrophy secondary to intrauterine vascular compromise eg, prenatal testicular torsion. Management of cryptorchism and risk of testicular cancer. Embryology of the testis the medical university of south. The impact of primary location and age at orchiopexy on testicular. In this case, the condition was present since birth but presented to. Ectopic testis is defined as the aberrant location of testis in places other than the scrotum during descent from the inguinal canal after the external ring. Undescended testis or cryptorchidism is the most common genitourinary disorder in boys. Cryptorchidism is the most common abnormality of male sexual development. He presented 3 weeks later with a swelling in the shaft of the penis near the glans see. In 80% of patients with cryptorchidism, the testis is manually palpable in the inguinal canal. Clinical suspicion and early diagnosis may salvage the ectopic testis in such patients. Herein, we present a case of a 19yearold patient with persistent left testicular pain lasting for a week.
1574 359 110 696 153 352 1652 322 1519 173 493 1421 425 767 140 1359 880 1193 75 775 1126 896 814 1193 150 297 1094 109 610 1290 791