A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain
Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we present a case of a 19-year-old patient with persistent left testicular pain lasting for a week. Clinical examination revealed an empty right hemiscrotum, a normal left-sided descended testis...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2018/6919387 |
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| author | Chrysovalantis Gkekas Evangelos N. Symeonidis Ioannis Tsifountoudis Christos Georgiadis Vasileios Kalyvas Apostolos Malioris Michail Papathanasiou |
| author_facet | Chrysovalantis Gkekas Evangelos N. Symeonidis Ioannis Tsifountoudis Christos Georgiadis Vasileios Kalyvas Apostolos Malioris Michail Papathanasiou |
| author_sort | Chrysovalantis Gkekas |
| collection | DOAJ |
| description | Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we present a case of a 19-year-old patient with persistent left testicular pain lasting for a week. Clinical examination revealed an empty right hemiscrotum, a normal left-sided descended testis, and in close proximity a mass-like structure resembling testicular parenchyma. Laboratory tests were significant for elevated follicle-stimulating hormone (FSH), while sperm count revealed azoospermia. Ultrasound imaging (US) of the scrotum demonstrated the presence of both testes in the same left hemiscrotum with varicocele and no signs of inguinal hernia. Magnetic resonance imaging (MRI) of the penis and scrotum revealed TTE with a single, fused vas deferens, and hypoplastic seminal vesicles. Surgical intervention by means of microsurgical sperm retrieval and transseptal orchidopexy were considered but not performed, primarily owing to the patient’s unwillingness and to a lesser extent due to the restriction that the short and fused vas would pose in an attempt to transpose the ectopic testis. Therefore, an annual follow-up was recommended. |
| format | Article |
| id | doaj-art-8cbb69e7932e475f84b8d2770fc30c2c |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-8cbb69e7932e475f84b8d2770fc30c2c2025-02-03T07:25:21ZengWileyCase Reports in Urology2090-696X2090-69782018-01-01201810.1155/2018/69193876919387A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular PainChrysovalantis Gkekas0Evangelos N. Symeonidis1Ioannis Tsifountoudis2Christos Georgiadis3Vasileios Kalyvas4Apostolos Malioris5Michail Papathanasiou6Department of Urology, 424 General Military Hospital of Thessaloniki, Thessaloniki, GreeceDepartment of Urology, 424 General Military Hospital of Thessaloniki, Thessaloniki, GreeceDepartment of Radiology, 424 General Military Hospital of Thessaloniki, Thessaloniki, GreeceDepartment of Urology, 424 General Military Hospital of Thessaloniki, Thessaloniki, GreeceDepartment of Urology, 424 General Military Hospital of Thessaloniki, Thessaloniki, GreeceDepartment of Urology, 424 General Military Hospital of Thessaloniki, Thessaloniki, GreeceDepartment of Urology, 424 General Military Hospital of Thessaloniki, Thessaloniki, GreeceTransverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we present a case of a 19-year-old patient with persistent left testicular pain lasting for a week. Clinical examination revealed an empty right hemiscrotum, a normal left-sided descended testis, and in close proximity a mass-like structure resembling testicular parenchyma. Laboratory tests were significant for elevated follicle-stimulating hormone (FSH), while sperm count revealed azoospermia. Ultrasound imaging (US) of the scrotum demonstrated the presence of both testes in the same left hemiscrotum with varicocele and no signs of inguinal hernia. Magnetic resonance imaging (MRI) of the penis and scrotum revealed TTE with a single, fused vas deferens, and hypoplastic seminal vesicles. Surgical intervention by means of microsurgical sperm retrieval and transseptal orchidopexy were considered but not performed, primarily owing to the patient’s unwillingness and to a lesser extent due to the restriction that the short and fused vas would pose in an attempt to transpose the ectopic testis. Therefore, an annual follow-up was recommended.http://dx.doi.org/10.1155/2018/6919387 |
| spellingShingle | Chrysovalantis Gkekas Evangelos N. Symeonidis Ioannis Tsifountoudis Christos Georgiadis Vasileios Kalyvas Apostolos Malioris Michail Papathanasiou A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain Case Reports in Urology |
| title | A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain |
| title_full | A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain |
| title_fullStr | A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain |
| title_full_unstemmed | A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain |
| title_short | A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain |
| title_sort | rare variation of transverse testicular ectopia tte in a young adult as an incidental finding during investigation for testicular pain |
| url | http://dx.doi.org/10.1155/2018/6919387 |
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