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Transverse Testicular Ectopia in a Context of Persistence of the Peritoneo-vaginal Duct: A Case Report

Received: 7 October 2021     Accepted: 1 November 2021     Published: 12 November 2021
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Abstract

True testicular ectopic represent 1% of testicular migration abnormalities. Transverse or crossed form is a very rare form of testicular ectopia. It is defined as an abnormal localization of both testicles in the same hemi-scrotum. Association of a persistence of vaginal process or a syndrome of persistence of the Müllerian canal is more commonand deserves to be underlined. The diagnosis is often intraoperative but can be facilitated by an ultrasound performed preoperatively. Before any case of testicular ectopy, notably an empty scrotum associated with an inguinal hernia, transverse testicular ectopy should be suspected. Orchiopexy in-dartos on both sides after a trans septal lowering of the testicle concerned is the rule. Currently with the development of laparoscopy, management can be performed by open surgery but also depending on the availability of the technical platform and the experience of the surgeon, laparoscopic treatment is possible. Transverse testicular ectopy is a rare form of testicular ectopy. the principle of the treatment consists in the lowering of the testicle in intra scrotum and the orchidopexy. Long-term follow-up of testicules should be systematic because risks of infertility and malignant degeneration exist and are multiplied respectively by six and eight compared to the rest of the population. We report a case, diagnosed in a secondary health center, and review the literature.

Published in International Journal of Clinical Urology (Volume 5, Issue 2)
DOI 10.11648/j.ijcu.20210502.18
Page(s) 91-93
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Transverse Testicular Ectopia, Persistent Peritoneal-vaginal Duct, Orchiopexy

References
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[2] Akin M, Erginel B, Bilici S, Gedik S, Yıldız A, Karadağ CA, Sever N, Dokucu AI. Crossed testicular ectopia: Report of six cases. Afr J Paediatr Surg 2014; 11 (3): 269-72.
[3] Chung HS, Kim SO, Yu HS, Kim SS, Kwon DD. Transverse testicular ectopia associated with persistent Müllerian duct syndrome treated by transseptal orchiopexy: A case report. Medicine 2018; 97: 48.
[4] Takongmo S, Angwafo F, Masso-misse P, Essomba A, Zoug kanyi J and al. Intérêt du traitement chirurgical de la cryptorchidie à Yaoundé [Interest of surgical treatment of cryptorchidism in Yaounde]. Med Afr Noire 1996; 43: 202–4.
[5] Berkmen F.: Persistent mullerien duct syndrome with or without transverse testicular ectopia and testis tumours. Br. J. Urol., 1997; 79: 122-126.
[6] Hammoudi S. Transverse testicular ectopia. J. Pediatr. Surg. 1989; 24: 223-224.
[7] Kernak I., Tanyel F. C., Akcoren Z., Hicsonmez A.: Transverse testicular ectopia with persistent mullerian duct syndrome. J. Pediatr. Surg., 1997; 32: 1362-1364.
[8] Martin E. L., Bennet A. H., Cromie W. J.: Persistent mullerian duct syndrome with transverse ectopia and spermatogenesis. J. Urol., 1992; 147: 1615-1617.
[9] Jouini R, Lefi M, Sami C., Manef G, Mohsen B, Nouri A. Ectopie testiculaire transverse [transverse testicular ectopia]. Prog. Urol. 2002; 12: 666-667.
[10] Yang C, Chen H, Huang Y, Li P, Tian R, Li Z. Transverse testicular ectopia associated with persistent Mullerian duct syndrome in infertile male: two case reports and literature review. Transl Androl Urol. 2021; 10 (1): 512-519.
[11] Karam IM, Akkouche DE, Lezeau YMJH, Verlhac S, Ponet M. Ectopie testiculaire transverse avec déférent commun: à propos d’un cas Transverse [testicular ectopia with common vas deferens: a case report]. Arch. de Pédiatrie 2008; 15 (5): 908.
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[14] Chen KC, Chu CC, Chou TY. Transverse testicular ectopia: preoperative diagnosis by ultrasonography. Pediatr. Surg. Int. 2000; 16: 77-79.
[15] Lam WW, Le SD, Chan KL. Chan FL, Tam PK: Transverse testicular ectopia detected by MR imaging and MR venography. Pediatr. Radiol., 2002; 32: 126-129.
[16] Cansaran S, Moralioglu S, Celayir A, Bosnali O, Mutlu RGY. Management of Transverse Testicular Ectopia with Persistent Mullerian Duct Syndrome. North Clin Istanb. 2018; 5 (4): 357-360.
[17] Gkekas C, Symeonidis EN, Tsifountoudis I, Georgiadis C, Kalyvas V, Malioris A, Papathanasiou M. A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain. Case Rep Urol. 2018; 16: 1-4.
[18] Sano D, Wandaogo A, Tapsoba TL, Sanou A. Les anomalies de position du testicule: enquête épidémiologique en milieu scolaire à Ouagadougou [Anomalies in the position of the testis: epidemiological investigation in schools in Ouagadougou]. Med Afr Noire 1999; 46 (2): 75–7.
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Cite This Article
  • APA Style

    Mamadou Lamine Diakite, Boureima Ballo, Amadou Kassogue, Salia Coulibaly, Daouda Sangare, et al. (2021). Transverse Testicular Ectopia in a Context of Persistence of the Peritoneo-vaginal Duct: A Case Report. International Journal of Clinical Urology, 5(2), 91-93. https://doi.org/10.11648/j.ijcu.20210502.18

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    ACS Style

    Mamadou Lamine Diakite; Boureima Ballo; Amadou Kassogue; Salia Coulibaly; Daouda Sangare, et al. Transverse Testicular Ectopia in a Context of Persistence of the Peritoneo-vaginal Duct: A Case Report. Int. J. Clin. Urol. 2021, 5(2), 91-93. doi: 10.11648/j.ijcu.20210502.18

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    AMA Style

    Mamadou Lamine Diakite, Boureima Ballo, Amadou Kassogue, Salia Coulibaly, Daouda Sangare, et al. Transverse Testicular Ectopia in a Context of Persistence of the Peritoneo-vaginal Duct: A Case Report. Int J Clin Urol. 2021;5(2):91-93. doi: 10.11648/j.ijcu.20210502.18

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  • @article{10.11648/j.ijcu.20210502.18,
      author = {Mamadou Lamine Diakite and Boureima Ballo and Amadou Kassogue and Salia Coulibaly and Daouda Sangare and Ousmane Kone and Honore Berthe and Idrissa Sissoko and Moussa Salifou Diallo and Aly Tembely},
      title = {Transverse Testicular Ectopia in a Context of Persistence of the Peritoneo-vaginal Duct: A Case Report},
      journal = {International Journal of Clinical Urology},
      volume = {5},
      number = {2},
      pages = {91-93},
      doi = {10.11648/j.ijcu.20210502.18},
      url = {https://doi.org/10.11648/j.ijcu.20210502.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20210502.18},
      abstract = {True testicular ectopic represent 1% of testicular migration abnormalities. Transverse or crossed form is a very rare form of testicular ectopia. It is defined as an abnormal localization of both testicles in the same hemi-scrotum. Association of a persistence of vaginal process or a syndrome of persistence of the Müllerian canal is more commonand deserves to be underlined. The diagnosis is often intraoperative but can be facilitated by an ultrasound performed preoperatively. Before any case of testicular ectopy, notably an empty scrotum associated with an inguinal hernia, transverse testicular ectopy should be suspected. Orchiopexy in-dartos on both sides after a trans septal lowering of the testicle concerned is the rule. Currently with the development of laparoscopy, management can be performed by open surgery but also depending on the availability of the technical platform and the experience of the surgeon, laparoscopic treatment is possible. Transverse testicular ectopy is a rare form of testicular ectopy. the principle of the treatment consists in the lowering of the testicle in intra scrotum and the orchidopexy. Long-term follow-up of testicules should be systematic because risks of infertility and malignant degeneration exist and are multiplied respectively by six and eight compared to the rest of the population. We report a case, diagnosed in a secondary health center, and review the literature.},
     year = {2021}
    }
    

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    T1  - Transverse Testicular Ectopia in a Context of Persistence of the Peritoneo-vaginal Duct: A Case Report
    AU  - Mamadou Lamine Diakite
    AU  - Boureima Ballo
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    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
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    PB  - Science Publishing Group
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    AB  - True testicular ectopic represent 1% of testicular migration abnormalities. Transverse or crossed form is a very rare form of testicular ectopia. It is defined as an abnormal localization of both testicles in the same hemi-scrotum. Association of a persistence of vaginal process or a syndrome of persistence of the Müllerian canal is more commonand deserves to be underlined. The diagnosis is often intraoperative but can be facilitated by an ultrasound performed preoperatively. Before any case of testicular ectopy, notably an empty scrotum associated with an inguinal hernia, transverse testicular ectopy should be suspected. Orchiopexy in-dartos on both sides after a trans septal lowering of the testicle concerned is the rule. Currently with the development of laparoscopy, management can be performed by open surgery but also depending on the availability of the technical platform and the experience of the surgeon, laparoscopic treatment is possible. Transverse testicular ectopy is a rare form of testicular ectopy. the principle of the treatment consists in the lowering of the testicle in intra scrotum and the orchidopexy. Long-term follow-up of testicules should be systematic because risks of infertility and malignant degeneration exist and are multiplied respectively by six and eight compared to the rest of the population. We report a case, diagnosed in a secondary health center, and review the literature.
    VL  - 5
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Author Information
  • Urology Department, University Teaching Hospital of Point G, Bamako, Mali

  • General Surgery Department, Koutiala Referral Health Center, Koutiala, Mali

  • Urology Department, University Teaching Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Radiology Department, University Teaching Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, University Teaching Hospital Pr Bocar Sidy Sall, Kati, Mali

  • General Surgery Department, Markala Referral Health Center, Markala, Mali

  • Urology Department, University Teaching Hospital of Point G, Bamako, Mali

  • Urology Department, University Teaching Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, University Teaching Hospital Pr Bocar Sidy Sall, Kati, Mali

  • Urology Department, University Teaching Hospital of Point G, Bamako, Mali

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