Left-right reversal of the testes within the scrotum: An extremely rare variant of testicular ectopia

IntroductionTesticular ectopia refers to abnormal positioning of testis, which includes a wide variety of variants. An ectopic testis is located off the normal path of male gonadal descent, unlike conventional undescended testis. Case presentationA 37-year-old man presented with the complaint of a p...

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Bibliographic Details
Published in:IJU case reports 2023, Vol.6 (1), p.56-59
Main Authors: Kishitani, Kenjiro, Yoda, Kenji, Taguchi, Satoru, Suyama, Hikaru, Hoshina, Hayato, Akiyama, Yoshiyuki, Yamada, Yuta, Sato, Yusuke, Yamada, Daisuke, Kume, Haruki
Format: Report
Language:English
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Summary:IntroductionTesticular ectopia refers to abnormal positioning of testis, which includes a wide variety of variants. An ectopic testis is located off the normal path of male gonadal descent, unlike conventional undescended testis. Case presentationA 37-year-old man presented with the complaint of a palpable lesion in the scrotum. Magnetic resonance imaging of the scrotum revealed bilateral testes on the respective opposite sides of the scrotum with bilateral spermatic cords crossing under the base of the penis. Accordingly, he was diagnosed as "left-right reversal of the testes within the scrotum." In retrospect, the "palpable" lesion was thought to be the spermatic cords crossing above the testes. Semen analysis identified deteriorated sperm motility, suggesting possible male infertility. ConclusionThis case of left-right reversal of the testes within the scrotum is probably a new variant of testicular ectopia that has never been reported.
ISSN:2577-171X
DOI:10.1002/iju5.12549