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[Coincidence of hydatid of Morgagni and undescended testis: more common than expected !]

D Geiselmann1, T Meyer2

  • 1Abteilung für Kinderchirurgie, Kinderurologie und Kindertraumatologie, Chirurgie I, Zentrum Operative Medizin (ZOM), Universitätsklinikum Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Deutschland.

Der Urologe. Ausg. A
|February 12, 2021
PubMed

Insights

This study found a high prevalence of hydatids (appendix testis) in undescended testes. Hydatid size correlated with patient age, suggesting hormonal influence on growth in pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Developmental Biology

Background:

  • Undescended testis (cryptorchidism) is a common congenital anomaly.
  • The appendix testis (hydatid of Morgagni) is a Mullerian remnant often found incidentally.
  • The co-occurrence of these conditions requires further investigation.

Purpose of the Study:

  • To determine the prevalence of hydatids in surgically managed undescended testes.
  • To investigate the relationship between patient age and hydatid size in this cohort.

Main Methods:

  • Retrospective analysis of 814 operated testes over a 6-year period.
  • Intraoperative assessment of the presence and size of hydatids within the testicular envelope.
  • Statistical correlation analysis between patient age and hydatid dimensions.

Main Results:

  • A high overall prevalence of 62.66% for hydatids was observed in undescended testes.
  • A significant positive correlation was established between patient age and the size of the hydatids.
  • Hydatid size appears to increase with age, potentially influenced by hormonal factors.

Conclusions:

  • Hydatids are frequently encountered during surgery for undescended testes.
  • The observed correlation suggests a potential role for hormonal influences on hydatid growth during childhood.
  • Further research into the embryological and hormonal factors is warranted.
Keywords:
Appendix testesChildrenCryptorchidismEpidemiology

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