Transverse testicular ectopia associated with persistent Müllerian duct syndrome treated by transseptal orchiopexy: A case report

We present a 2-year-old boy who presented with bilateral non-palpable testes with left inguinal mass. Diagnosis: TTE with PMDS. Interventions: On exploration, both testes were present in the left inguinal region. Uterus and fallopian tubes were located between the testes. A hysterectomy was perfomed with resection of the underdeveloped fallopian tubes. Bilateral orchiopexy was performed by placing both gonads into subdartos pouches in each scrotum with transseptal approach. Outcomes: Both testes were palpable in both the scrotum at 1-year postoperative follow-up and we are planning a regular follow-up. Lessons: In case of TTE with PMDS, optimal surgical approach with orchiopexy and excision of Müllerian duct should be needed. A long-term postoperative follow-up is necessary for assessment of malignant transformation and infertility.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research