A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain

Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we present a case of a 19-year-old patient with persistent left testicular pain lasting for a week. Clinical examination revealed an empty right hemiscrotum, a normal left-sided descended testis...

Full description

Saved in:
Bibliographic Details
Published in:Case reports in urology 2018, Vol.2018 (2018), p.1-4
Main Authors: Papathanasiou, Michail, Kalyvas, Vasileios, Georgiadis, Christos, Tsifountoudis, Ioannis, Symeonidis, Evangelos N., Gkekas, Chrysovalantis, Malioris, Apostolos
Format: Article
Language:English
Subjects:
Abdomen
Case Report
Case reports
Follicle-stimulating hormone
Hernia
Hernias
Pain
Pediatrics
Sperm
Surgery
Teenagers
Ultrasound imaging
Urology
Young adults
Youth
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c4167-46cd11b24d4f5aeb3b497a88a3aac127ebc8c678f1182f6eebe37a7e8b66de9e3
cites cdi_FETCH-LOGICAL-c4167-46cd11b24d4f5aeb3b497a88a3aac127ebc8c678f1182f6eebe37a7e8b66de9e3
container_end_page 4
container_issue 2018
container_start_page 1
container_title Case reports in urology
container_volume 2018
creator Papathanasiou, Michail
Kalyvas, Vasileios
Georgiadis, Christos
Tsifountoudis, Ioannis
Symeonidis, Evangelos N.
Gkekas, Chrysovalantis
Malioris, Apostolos
description Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we present a case of a 19-year-old patient with persistent left testicular pain lasting for a week. Clinical examination revealed an empty right hemiscrotum, a normal left-sided descended testis, and in close proximity a mass-like structure resembling testicular parenchyma. Laboratory tests were significant for elevated follicle-stimulating hormone (FSH), while sperm count revealed azoospermia. Ultrasound imaging (US) of the scrotum demonstrated the presence of both testes in the same left hemiscrotum with varicocele and no signs of inguinal hernia. Magnetic resonance imaging (MRI) of the penis and scrotum revealed TTE with a single, fused vas deferens, and hypoplastic seminal vesicles. Surgical intervention by means of microsurgical sperm retrieval and transseptal orchidopexy were considered but not performed, primarily owing to the patient’s unwillingness and to a lesser extent due to the restriction that the short and fused vas would pose in an attempt to transpose the ectopic testis. Therefore, an annual follow-up was recommended.
doi_str_mv 10.1155/2018/6919387
format article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_8cbb69e7932e475f84b8d2770fc30c2c</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A588340566</galeid><doaj_id>oai_doaj_org_article_8cbb69e7932e475f84b8d2770fc30c2c</doaj_id><sourcerecordid>A588340566</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4167-46cd11b24d4f5aeb3b497a88a3aac127ebc8c678f1182f6eebe37a7e8b66de9e3</originalsourceid><addsrcrecordid>eNqNkkGPEyEUgCdG427WvXk2JF402l0YZoC5mDSbrjbZRGOq0RN5A48uzRQq06nxL_irpbbWNvEgHCDw8fEevKJ4yugVY3V9XVKmrkXDGq7kg-K8pA0diUaqh4e5-HJWXPb9guYmSiFo87g441RUXAh2Xvwck4-QkHyG5GHtYyDRkVmC0G8w9Uhm2K-9GTpIZGLWceWBvJjNJi-JDwTI1ziEORnboVsT6AkEMg3GWwxr6MitD9bnbTuk7TANm61rvrvFxXTs_gA-PCkeOeh6vNyPF8Wn28ns5t3o7v3b6c34bmQqJuSoEsYy1paVrVwN2PK2aiQoBRzAsFJia5QRUjnGVOkEYotcgkTVCmGxQX5RTHdeG2GhV8kvIf3QEbz-vRDTXEPKgXWolWlb0aBseImVrJ2qWmVLKakznJrSZNebnWs1tEu0JmeeoDuRnu4Ef6_ncaMFZ6xUTRY83wtS_DbkB9GLOKSQ89clE0xU-dOOqDnkqHxwMcvM0vdGj2uleEVrITJ19Q8qd4tLb2JA5_P6yYHXuwMmxb5P6A6BM6q39aW39aX39ZXxZ8fJHuA_1ZSBVzvgPn89fPf_qcPMoIO_NKtZpSj_BTVY4Yc</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2161640629</pqid></control><display><type>article</type><title>A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain</title><source>Open Access: Wiley-Blackwell Open Access Journals</source><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Papathanasiou, Michail ; Kalyvas, Vasileios ; Georgiadis, Christos ; Tsifountoudis, Ioannis ; Symeonidis, Evangelos N. ; Gkekas, Chrysovalantis ; Malioris, Apostolos</creator><contributor>Goel, Apul ; Apul Goel</contributor><creatorcontrib>Papathanasiou, Michail ; Kalyvas, Vasileios ; Georgiadis, Christos ; Tsifountoudis, Ioannis ; Symeonidis, Evangelos N. ; Gkekas, Chrysovalantis ; Malioris, Apostolos ; Goel, Apul ; Apul Goel</creatorcontrib><description>Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we present a case of a 19-year-old patient with persistent left testicular pain lasting for a week. Clinical examination revealed an empty right hemiscrotum, a normal left-sided descended testis, and in close proximity a mass-like structure resembling testicular parenchyma. Laboratory tests were significant for elevated follicle-stimulating hormone (FSH), while sperm count revealed azoospermia. Ultrasound imaging (US) of the scrotum demonstrated the presence of both testes in the same left hemiscrotum with varicocele and no signs of inguinal hernia. Magnetic resonance imaging (MRI) of the penis and scrotum revealed TTE with a single, fused vas deferens, and hypoplastic seminal vesicles. Surgical intervention by means of microsurgical sperm retrieval and transseptal orchidopexy were considered but not performed, primarily owing to the patient’s unwillingness and to a lesser extent due to the restriction that the short and fused vas would pose in an attempt to transpose the ectopic testis. Therefore, an annual follow-up was recommended.</description><identifier>ISSN: 2090-696X</identifier><identifier>EISSN: 2090-6978</identifier><identifier>DOI: 10.1155/2018/6919387</identifier><identifier>PMID: 30643661</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Abdomen ; Case Report ; Case reports ; Follicle-stimulating hormone ; Hernia ; Hernias ; Pain ; Pediatrics ; Sperm ; Surgery ; Teenagers ; Ultrasound imaging ; Urology ; Young adults ; Youth</subject><ispartof>Case reports in urology, 2018, Vol.2018 (2018), p.1-4</ispartof><rights>Copyright © 2018 Chrysovalantis Gkekas et al.</rights><rights>COPYRIGHT 2018 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2018 Chrysovalantis Gkekas et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2018 Chrysovalantis Gkekas et al. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4167-46cd11b24d4f5aeb3b497a88a3aac127ebc8c678f1182f6eebe37a7e8b66de9e3</citedby><cites>FETCH-LOGICAL-c4167-46cd11b24d4f5aeb3b497a88a3aac127ebc8c678f1182f6eebe37a7e8b66de9e3</cites><orcidid>0000-0002-5414-0303 ; 0000-0002-6360-0762 ; 0000-0002-9792-5434 ; 0000-0001-6207-3844</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2161640629/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2161640629?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,25753,27923,27924,27925,37012,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30643661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Goel, Apul</contributor><contributor>Apul Goel</contributor><creatorcontrib>Papathanasiou, Michail</creatorcontrib><creatorcontrib>Kalyvas, Vasileios</creatorcontrib><creatorcontrib>Georgiadis, Christos</creatorcontrib><creatorcontrib>Tsifountoudis, Ioannis</creatorcontrib><creatorcontrib>Symeonidis, Evangelos N.</creatorcontrib><creatorcontrib>Gkekas, Chrysovalantis</creatorcontrib><creatorcontrib>Malioris, Apostolos</creatorcontrib><title>A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain</title><title>Case reports in urology</title><addtitle>Case Rep Urol</addtitle><description>Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we present a case of a 19-year-old patient with persistent left testicular pain lasting for a week. Clinical examination revealed an empty right hemiscrotum, a normal left-sided descended testis, and in close proximity a mass-like structure resembling testicular parenchyma. Laboratory tests were significant for elevated follicle-stimulating hormone (FSH), while sperm count revealed azoospermia. Ultrasound imaging (US) of the scrotum demonstrated the presence of both testes in the same left hemiscrotum with varicocele and no signs of inguinal hernia. Magnetic resonance imaging (MRI) of the penis and scrotum revealed TTE with a single, fused vas deferens, and hypoplastic seminal vesicles. Surgical intervention by means of microsurgical sperm retrieval and transseptal orchidopexy were considered but not performed, primarily owing to the patient’s unwillingness and to a lesser extent due to the restriction that the short and fused vas would pose in an attempt to transpose the ectopic testis. Therefore, an annual follow-up was recommended.</description><subject>Abdomen</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Follicle-stimulating hormone</subject><subject>Hernia</subject><subject>Hernias</subject><subject>Pain</subject><subject>Pediatrics</subject><subject>Sperm</subject><subject>Surgery</subject><subject>Teenagers</subject><subject>Ultrasound imaging</subject><subject>Urology</subject><subject>Young adults</subject><subject>Youth</subject><issn>2090-696X</issn><issn>2090-6978</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkkGPEyEUgCdG427WvXk2JF402l0YZoC5mDSbrjbZRGOq0RN5A48uzRQq06nxL_irpbbWNvEgHCDw8fEevKJ4yugVY3V9XVKmrkXDGq7kg-K8pA0diUaqh4e5-HJWXPb9guYmSiFo87g441RUXAh2Xvwck4-QkHyG5GHtYyDRkVmC0G8w9Uhm2K-9GTpIZGLWceWBvJjNJi-JDwTI1ziEORnboVsT6AkEMg3GWwxr6MitD9bnbTuk7TANm61rvrvFxXTs_gA-PCkeOeh6vNyPF8Wn28ns5t3o7v3b6c34bmQqJuSoEsYy1paVrVwN2PK2aiQoBRzAsFJia5QRUjnGVOkEYotcgkTVCmGxQX5RTHdeG2GhV8kvIf3QEbz-vRDTXEPKgXWolWlb0aBseImVrJ2qWmVLKakznJrSZNebnWs1tEu0JmeeoDuRnu4Ef6_ncaMFZ6xUTRY83wtS_DbkB9GLOKSQ89clE0xU-dOOqDnkqHxwMcvM0vdGj2uleEVrITJ19Q8qd4tLb2JA5_P6yYHXuwMmxb5P6A6BM6q39aW39aX39ZXxZ8fJHuA_1ZSBVzvgPn89fPf_qcPMoIO_NKtZpSj_BTVY4Yc</recordid><startdate>2018</startdate><enddate>2018</enddate><creator>Papathanasiou, Michail</creator><creator>Kalyvas, Vasileios</creator><creator>Georgiadis, Christos</creator><creator>Tsifountoudis, Ioannis</creator><creator>Symeonidis, Evangelos N.</creator><creator>Gkekas, Chrysovalantis</creator><creator>Malioris, Apostolos</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley &amp; Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-5414-0303</orcidid><orcidid>https://orcid.org/0000-0002-6360-0762</orcidid><orcidid>https://orcid.org/0000-0002-9792-5434</orcidid><orcidid>https://orcid.org/0000-0001-6207-3844</orcidid></search><sort><creationdate>2018</creationdate><title>A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain</title><author>Papathanasiou, Michail ; Kalyvas, Vasileios ; Georgiadis, Christos ; Tsifountoudis, Ioannis ; Symeonidis, Evangelos N. ; Gkekas, Chrysovalantis ; Malioris, Apostolos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4167-46cd11b24d4f5aeb3b497a88a3aac127ebc8c678f1182f6eebe37a7e8b66de9e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abdomen</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Follicle-stimulating hormone</topic><topic>Hernia</topic><topic>Hernias</topic><topic>Pain</topic><topic>Pediatrics</topic><topic>Sperm</topic><topic>Surgery</topic><topic>Teenagers</topic><topic>Ultrasound imaging</topic><topic>Urology</topic><topic>Young adults</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Papathanasiou, Michail</creatorcontrib><creatorcontrib>Kalyvas, Vasileios</creatorcontrib><creatorcontrib>Georgiadis, Christos</creatorcontrib><creatorcontrib>Tsifountoudis, Ioannis</creatorcontrib><creatorcontrib>Symeonidis, Evangelos N.</creatorcontrib><creatorcontrib>Gkekas, Chrysovalantis</creatorcontrib><creatorcontrib>Malioris, Apostolos</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Middle East &amp; Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Case reports in urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Papathanasiou, Michail</au><au>Kalyvas, Vasileios</au><au>Georgiadis, Christos</au><au>Tsifountoudis, Ioannis</au><au>Symeonidis, Evangelos N.</au><au>Gkekas, Chrysovalantis</au><au>Malioris, Apostolos</au><au>Goel, Apul</au><au>Apul Goel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain</atitle><jtitle>Case reports in urology</jtitle><addtitle>Case Rep Urol</addtitle><date>2018</date><risdate>2018</risdate><volume>2018</volume><issue>2018</issue><spage>1</spage><epage>4</epage><pages>1-4</pages><issn>2090-696X</issn><eissn>2090-6978</eissn><abstract>Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we present a case of a 19-year-old patient with persistent left testicular pain lasting for a week. Clinical examination revealed an empty right hemiscrotum, a normal left-sided descended testis, and in close proximity a mass-like structure resembling testicular parenchyma. Laboratory tests were significant for elevated follicle-stimulating hormone (FSH), while sperm count revealed azoospermia. Ultrasound imaging (US) of the scrotum demonstrated the presence of both testes in the same left hemiscrotum with varicocele and no signs of inguinal hernia. Magnetic resonance imaging (MRI) of the penis and scrotum revealed TTE with a single, fused vas deferens, and hypoplastic seminal vesicles. Surgical intervention by means of microsurgical sperm retrieval and transseptal orchidopexy were considered but not performed, primarily owing to the patient’s unwillingness and to a lesser extent due to the restriction that the short and fused vas would pose in an attempt to transpose the ectopic testis. Therefore, an annual follow-up was recommended.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>30643661</pmid><doi>10.1155/2018/6919387</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-5414-0303</orcidid><orcidid>https://orcid.org/0000-0002-6360-0762</orcidid><orcidid>https://orcid.org/0000-0002-9792-5434</orcidid><orcidid>https://orcid.org/0000-0001-6207-3844</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2090-696X
ispartof Case reports in urology, 2018, Vol.2018 (2018), p.1-4
issn 2090-696X
2090-6978
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_8cbb69e7932e475f84b8d2770fc30c2c
source Open Access: Wiley-Blackwell Open Access Journals; Publicly Available Content Database; PubMed Central
subjects Abdomen
Case Report
Case reports
Follicle-stimulating hormone
Hernia
Hernias
Pain
Pediatrics
Sperm
Surgery
Teenagers
Ultrasound imaging
Urology
Young adults
Youth
title A Rare Variation of Transverse Testicular Ectopia (TTE) in a Young Adult as an Incidental Finding during Investigation for Testicular Pain
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T17%3A09%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Rare%20Variation%20of%20Transverse%20Testicular%20Ectopia%20(TTE)%20in%20a%20Young%20Adult%20as%20an%20Incidental%20Finding%20during%20Investigation%20for%20Testicular%20Pain&rft.jtitle=Case%20reports%20in%20urology&rft.au=Papathanasiou,%20Michail&rft.date=2018&rft.volume=2018&rft.issue=2018&rft.spage=1&rft.epage=4&rft.pages=1-4&rft.issn=2090-696X&rft.eissn=2090-6978&rft_id=info:doi/10.1155/2018/6919387&rft_dat=%3Cgale_doaj_%3EA588340566%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4167-46cd11b24d4f5aeb3b497a88a3aac127ebc8c678f1182f6eebe37a7e8b66de9e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2161640629&rft_id=info:pmid/30643661&rft_galeid=A588340566&rfr_iscdi=true