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- Title
Transverse testicular ectopia: A case report.
- Authors
Saran, Sanjay; Agarwal, Pankaj; Sharma, Balram; Singh, Hema; Mathur, Sandeep
- Abstract
Transverse Testicular ectopia (TTE) is an interesting though very uncommon anatomical anomaly of gonads. It is characterized by decent of both testes through single inguinal canal and towards the same hemiscrotum. TTE also known as transverse testicular ectopia, testicular pseudoduplication, unilateral double testis and transverse aberrant testicular maldescent. We report a 32-year old male had registered to our outpatient department for the evaluation of infertility. He was married 7 years back and has been living with wife since his marriage. His wife has normal menstrual cycle and has no history of endocrine disease and other chronic disease. On physical examination, the right hemiscrotum was well developed but right testis was not palpable. The left testis was in left hemiscrotum with normal in size and consistency. There was another lump on the posterosuperior position of left scrotum with very similar feeling of normal testis. He had complete inguinal hernia on the left side. Serum total testosterone value was 659.57 ng/dl. His serum LH, FSH, TSH, Prolactin values were also within normal range. There was azoospermia in the first semen analysis. Repeated semen analysis, 3 months later, revealed severe oligospermia. The karyotype of the patient is 46, XY with no Y chromosome micro deletions. Scrotal ultrasound with Color Doppler revealed that one testis was in left hemiscrotum and other was also in left hemiscrotum near to left superficial inguinal ring. TTE is a rare anomaly whose pathogenesis remains unclear. The diagnosis should be considered when unilateral hernia and concurrent cryptorchidism of the contralateral side are present. In suspected cases, ultrasonographic evaluation and laparoscopy may be helpful in diagnosing this condition before surgery. Transseptal orchiopexy is recommended to manage TTE.
- Subjects
BLADDER exstrophy; GONADS; INFERTILITY
- Publication
Indian Journal of Endocrinology & Metabolism, 2017, Vol 21, p72
- ISSN
2230-8210
- Publication type
Case Study