Transverse Testicular Ectopy and an Incarcerated Inguinal Hernia in a 2-Month-Old Preterm Boy
Transverse testicular ectopy (TTE) is a rare anomaly in which both testicles descend through the same inguinal canal. Different variants of this anomaly exist, with the most common presenting as two separate spermatic cords and testicular vessel bundles. The management of this condition is challengi...
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2024-01-01
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| Series: | European Journal of Pediatric Surgery Reports |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1795163 |
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| author | Marcin Lech Kordasz Michael Nakhleh Christoph Matissek Alexander Mack Thomas Franz Krebs Frank-Martin Haecker |
| author_facet | Marcin Lech Kordasz Michael Nakhleh Christoph Matissek Alexander Mack Thomas Franz Krebs Frank-Martin Haecker |
| author_sort | Marcin Lech Kordasz |
| collection | DOAJ |
| description | Transverse testicular ectopy (TTE) is a rare anomaly in which both testicles descend through the same inguinal canal. Different variants of this anomaly exist, with the most common presenting as two separate spermatic cords and testicular vessel bundles. The management of this condition is challenging, as various factors have to be considered. We report on a 2-month-old preterm boy with TTE, admitted to the hospital due to an ipsilateral incarcerated inguinal hernia. Diagnostic workup included a physical examination revealing a large swelling in the right groin, ultrasound imaging that showed both testicles located in the right inguinal canal, and laboratory tests indicating a deficiency of anti-Mullerian hormone. All of these findings confirmed the diagnosis of TTE. Surgical treatment included diagnostic laparoscopy with herniorrhaphy, followed by inguinal revision with transseptal orchidopexy in a second procedure. The 12-month follow-up was uneventful. Though rare, TTE is an important differential diagnosis in case of an incarcerated hernia combined with (contralateral) empty scrotum. Pediatric surgeons must be aware of this entity. Meticulous diagnostic workup and careful surgical management are mandatory. |
| format | Article |
| id | doaj-art-68ee84645aef4121942b9391bb3dfb58 |
| institution | OA Journals |
| issn | 2194-7619 2194-7627 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | European Journal of Pediatric Surgery Reports |
| spelling | doaj-art-68ee84645aef4121942b9391bb3dfb582025-08-20T02:06:50ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272024-01-011201e81e8410.1055/s-0044-1795163Transverse Testicular Ectopy and an Incarcerated Inguinal Hernia in a 2-Month-Old Preterm BoyMarcin Lech Kordasz0Michael Nakhleh1Christoph Matissek2Alexander Mack3Thomas Franz Krebs4Frank-Martin Haecker5Department of Pediatric Surgery, Ostschweizer Kinderspital, St. Gallen, SwitzerlandDepartment of Pediatric Surgery, Ostschweizer Kinderspital, St. Gallen, SwitzerlandDepartment of Pediatric Surgery, Ostschweizer Kinderspital, St. Gallen, SwitzerlandDepartment of Pediatric Surgery, Ostschweizer Kinderspital, St. Gallen, SwitzerlandDepartment of Pediatric Surgery, Ostschweizer Kinderspital, St. Gallen, SwitzerlandDepartment of Pediatric Surgery, Ostschweizer Kinderspital, St. Gallen, SwitzerlandTransverse testicular ectopy (TTE) is a rare anomaly in which both testicles descend through the same inguinal canal. Different variants of this anomaly exist, with the most common presenting as two separate spermatic cords and testicular vessel bundles. The management of this condition is challenging, as various factors have to be considered. We report on a 2-month-old preterm boy with TTE, admitted to the hospital due to an ipsilateral incarcerated inguinal hernia. Diagnostic workup included a physical examination revealing a large swelling in the right groin, ultrasound imaging that showed both testicles located in the right inguinal canal, and laboratory tests indicating a deficiency of anti-Mullerian hormone. All of these findings confirmed the diagnosis of TTE. Surgical treatment included diagnostic laparoscopy with herniorrhaphy, followed by inguinal revision with transseptal orchidopexy in a second procedure. The 12-month follow-up was uneventful. Though rare, TTE is an important differential diagnosis in case of an incarcerated hernia combined with (contralateral) empty scrotum. Pediatric surgeons must be aware of this entity. Meticulous diagnostic workup and careful surgical management are mandatory.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1795163testicular ectopyherniaPediatric Surgery |
| spellingShingle | Marcin Lech Kordasz Michael Nakhleh Christoph Matissek Alexander Mack Thomas Franz Krebs Frank-Martin Haecker Transverse Testicular Ectopy and an Incarcerated Inguinal Hernia in a 2-Month-Old Preterm Boy European Journal of Pediatric Surgery Reports testicular ectopy hernia Pediatric Surgery |
| title | Transverse Testicular Ectopy and an Incarcerated Inguinal Hernia in a 2-Month-Old Preterm Boy |
| title_full | Transverse Testicular Ectopy and an Incarcerated Inguinal Hernia in a 2-Month-Old Preterm Boy |
| title_fullStr | Transverse Testicular Ectopy and an Incarcerated Inguinal Hernia in a 2-Month-Old Preterm Boy |
| title_full_unstemmed | Transverse Testicular Ectopy and an Incarcerated Inguinal Hernia in a 2-Month-Old Preterm Boy |
| title_short | Transverse Testicular Ectopy and an Incarcerated Inguinal Hernia in a 2-Month-Old Preterm Boy |
| title_sort | transverse testicular ectopy and an incarcerated inguinal hernia in a 2 month old preterm boy |
| topic | testicular ectopy hernia Pediatric Surgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1795163 |
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