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Transverse testicular ectopia with persistent Muellerian duct syndrome
M K Ghosh1, Siddhartha Biswas, T M Singh
1Department of Paediatric Surgery, Calcutta National Medical College and Hospital, Kolkata 700014.
Journal of the Indian Medical Association
|September 11, 2007
Summary
This case report details a rare condition in a one-year-old boy diagnosed with transverse testicular ectopia and persistent Müllerian duct syndrome. Surgical management confirmed the presence of testes within the left inguinoscrotal hernial sac.
Area of Science:
- Pediatric Surgery
- Endocrinology
- Genetics
Background:
- Transverse testicular ectopia (TTE) is a rare congenital anomaly where both testes are located on the same side of the scrotum.
- Persistent Müllerian duct syndrome (PMDS) is a disorder of sex development characterized by the presence of Müllerian structures (uterus, fallopian tubes, and upper vagina) in a phenotypic male.
Observation:
- A one-year-old boy presented with left inguinoscrotal swelling and an empty right scrotum since birth.
- The left inguinoscrotum contained two testes-like swellings, one superior to the other.
- Histopathological examination was performed on gonadal and Müllerian tissues.
Findings:
- The patient was diagnosed with transverse testicular ectopia with persistent Müllerian duct syndrome.
- Both testes were found within the left inguinoscrotal hernial sac.
- Histopathology confirmed the presence of testicular and Müllerian tissues.
Implications:
- This case highlights the importance of thorough evaluation in pediatric inguinoscrotal masses.
- Understanding the coexistence of TTE and PMDS is crucial for appropriate surgical and hormonal management.
- This presentation offers insights into complex disorders of sex development in pediatric patients.
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