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Retroperitoneal lymphatic malformation and transverse testicular ectopia: a unique clinical presentation
Michael W Morris1, William Cauthen, James A Bofill
1Department of Surgery, University of Mississippi School of Medicine, Jackson, MS 39216, USA. mmorrisjr@umc.edu
Journal of Pediatric Surgery
|April 16, 2013
Summary
This case report details a rare instance of transverse testicular ectopia linked to a fetal retroperitoneal lymphatic malformation. Surgical intervention and sclerotherapy successfully treated the condition, with no recurrence observed.
Area of Science:
- Pediatric Surgery
- Fetal Medicine
- Developmental Biology
Background:
- Retroperitoneal lymphatic malformations are rare congenital anomalies.
- Transverse testicular ectopia is an uncommon testicular malposition.
- Prenatal diagnosis of retroperitoneal masses can be challenging.
Observation:
- A fetal patient was diagnosed prenatally via ultrasound with a retroperitoneal lymphatic malformation.
- At birth, the infant presented with a right inguinal hernia and bilateral palpable testicles.
- Intraoperative findings during hernia repair revealed transverse testicular ectopia.
Findings:
- The patient underwent partial resection of the lymphatic malformation and hernia repair.
- Extraperitoneal transposition orchiopexy was performed for the transverse testicular ectopia.
- Combined delayed sclerotherapy and surgical resection achieved definitive treatment of the malformation without recurrence over one year.
Implications:
- This case is the first to suggest a direct association between retroperitoneal lymphatic malformations and transverse testicular ectopia.
- Understanding this potential link may aid in prenatal counseling and surgical planning.
- Further research is warranted to explore the embryological basis of this association.