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KMID : 1218220130050020033
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Korean Journal of Pediatric Urology
2013 Volume.5 No. 2 p.33 ~ p.36
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Persistent Mullerian Duct Syndrome with Crossed Testicular Ectopia Complicated by Dysgenetic Testis
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Lee Hahn-Ey
Park Kwan-Jin
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Abstract
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Transverse testicular ectopia is a rare congenital anomaly in which both testes migrate toward the same hemiscrotum. A 18 month-old boy was referred to the Urology department with left inguinal swelling and a right empty scrotum discovered at birth. A testis ultrasound exam revealed left inguinal hernia with a normal left testis, however the right testis was not
identified in the scrotum or inguinal region. Laparoscopy revealed a closed right inguinal ring, and a glistening band which was connected to an ovoid, white mass entering the ring. An intraoperative frozen biopsy suggested dysgenetic gonads and a possibility of remnant Fallopian tubes. We performed a total abdominal hysterectomy with bilateral gonadectomy. The final pathology of both ovoid masses was a bilateral dysgenetic testis and epididymis with bilateral Fallopian tubes attached.
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KEYWORD
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Persistent Mullerian duct syndrome, Testicular neoplasms, Gonadal disorders
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