Ectopia testicular cruzada: Caso clínico

Objetivos: Presentación de un paciente con ectopia testicular cruzada. Métodos: Se presenta la historia clínica del paciente, el resultado del ultrasonido abdominal e inguinal y los hallazgos de la exploración quirúrgica.. Resultados: Pre-escolar de 6 años de edad, quien consultó por presentar criptorquidia bilateral. En el examen físico no se encontró el testículo derecho en la bolsa escrotal ni en el canal inguinal. El testículo izquierdo estaba ubicado en el tercio inferior del canal inguinal. El ultrasonido inguino-escrotal y abdominal mostró el testículo izquierdo retenido en el canal inguinal y ausencia del testículo derecho. Se practicó intervención quirúrgica comprobándose ausencia del testículo derecho y de integrantes del cordón espermático, tanto a nivel del canal inguinal como en el retroperitoneo de ese lado. En el canal inguinal izquierdo se encontró doble cordón espermático, con proceso vaginal común para ambos testículos, los cuales estaban ubicados en el tercio inferior del canal inguinal. Se realizó liberación del proceso vaginal, separación de los cordones espermáticos y descenso de los testículos por el lado izquierdo, con transposición del septum inter-escrotal y pexia de ambas bolsas escrotales. Se comprobó evolución satisfactoria un año después de la intervención. Conclusiones: La ectopia testicular cruzada es una anomalía infrecuente del descenso testicular. El diagnóstico del caso que presentamos fue transoperatorio, al realizar la orquidopexia izquierda. Ambos testículos fueron descendidos a sus respectivas bolsas escrotales, con evolución satisfactoria un año después de la intervención.

Objectives: To present a patient with transverse testicular ectopia. Methods: The patient’s clinical history, the abdominal and inguinal ultrasound study, and the surgical findings are presented. Results: This is a 6-years-old school-boy, who was admitted because of bilateral undescended testes. His right testicle was absent from his scrotal sac and from the inguinal canal. The left testicle was located in the lower end of the inguinal canal. Inguinal and abdominal ultrasound study showed absent right testis, and the left testicle located in the inguinal region. At surgery, the right testis was not found in the inguinal canal, neither in the retroperitoneal space. Double vas deferens, and a unique vaginalis processus were found, and both testes were located lower in the left inguinal canal. The vaginalis processus was liberated, the vas deferens were set apart, and both testes were descended through the left side. Transposition of the inter-scrotal septum and orchiopexy of both scrotal sacs was performed. Satisfactory evolution was confirmed one year after surgical intervention. Conclusions: Transverse testicular ectopia is a rare condition. The case from this presentation was diagnosed when the surgical intervention was performed to correct the left cryptorchid testis. Both testes were descended to their respective scrotal sacs. Satisfactory evolution was confirmed one year after surgery.

Persistent Mullerian Duct Syndrome in a Boy with Transverse Testicular Ectopia: a Case Report / 대한비뇨기과학회지

Persistent mullerian duct syndrome is characterized by the presence of mullerian structures in male subiects with normal penile and scrotal development. A deficiency of activity of a mullerian inhibiting substance during gestation is believed to be responsible for this syndrome. To date approximately 150 cases of persistent mullerian duct syndrome have been reported and the syndrome of transverse testicular ectopia with persistent mullerian duct structures is much rarer. In Korea, this is the fourth case to be reported. We report a case of persistent mullerian duct syndrome with transverse testicular ectopia in a 7 month-old-boy. Both testes were in the right side of scrotum but no epididymises were found there, which resulted in the disruption of normal relationship between the was and testis. Regarding there was no fertility, mullerian duct structures were removed.

A Case of Transverse Testicular Ectopia with Incomplete Regression of Mullerian Duct / 대한비뇨기과학회지

Transverse testicular ectopia is a rare anomaly in which both testes descend through one inguinal canal and are in the same side of the scrotum. A case report of transverse testicular ectopia with incomplete regression of Mullerian duct in a 11 months old boy is detailed with a brief review of literature.