Transverse testicular ectopia with persistent Mullerian duct syndrome: Is it so rare? | [Pakistan Journal of Surgery • 2009]

Author(s):

1. Muhammad Shahab Athar: Department of Paediatric Surgery, Dow Medical College and Civil Hospital, Karachi, Pakistan

2. Javed Ahmad: Department of Paediatric Surgery, Dow Medical College and Civil Hospital, Karachi, Pakistan

3. Muhammad Talat Mehmood: Department of Paediatric Surgery, Dow Medical College and Civil Hospital, Karachi, Pakistan

4. Muhammad Sajjad Ashraf: Department of Paediatric Surgery, Dow Medical College and Civil Hospital, Karachi, Pakistan

5. Shera Moti: Department of Paediatric Surgery, Dow Medical College and Civil Hospital, Karachi, Pakistan

6. Nandlal Kella: Department of Paediatric Surgery, Liaquat Medical University, Jamshoro, Sindh, Pakistan

7. Naima Rasool: Department of Paediatric Surgery, National Institute of Child Health, Karachi, Pakistan

Abstract:

Objective: To review all cases of Transverse testicular ectopia (TTE) associated with persistent mullerian duct syndrome (PAMS). Study Design: Case Series study. Setting & Duration: Department of Paediatric Surgery, Civil Hospital Karachi, SU VII Lyari General Hospital and Liaquat University of Medical Sciences, Hyderabad from 2001 to 2008. Methodology: All patients diagnosed as transverse testicular ectopia (TTE) associated with or without persistent Mullerian duct syndrome (PLAIDS), who were who were managed in the Department of Paediatric Surgery of above mentioned centers were included. Results: A total of 13 patients of transverse testicular ectopia (TTE) were manage. Out of them, 12 had associated persistent mullerian duct syndrome (PADS). Mean age was 4.53 years. 10 patients presented with inguinal hernia of one side with non palpable undescended testis (UT) of opposite side, while one had bilateral inguinal hernia with left non palpable undescended testis, and another as obstructed right inguinal hernia and left non palpable UT. One patient presented with left non palpable undescended testis found to have both testes on right side. Gonadal biopsies were taken in 12 cases. No instance of Mixed Gonadal Dysgenesis was recognized in any of the cases. In all but one case it was possible to fix the ectopic testis trans-septally in the respective side of scrotum. Conclusion: This is the largest series reported with 12 cases of TTE with PLAIDS and one case of TTE alone.

Page(s): 37-40

DOI: DOI not available

Published: Journal: Pakistan Journal of Surgery, Volume: 25, Issue: 1, Year: 2009

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