Kocaeli Med J. 2023; 12(2): 302-305 | DOI: 10.5505/ktd.2023.92593

Coexistence of Transverse Testicular Ectopia and Coarctation of Aorta: A New Entity or Just a Co-incidence?

Necla Gürbüz Sarýkaþ
Kocaeli Health Sciences University, Derince Training and Research Hospital, Department of Pediatric Surgery, Kocaeli, Turkey

Background: Transverse testicular ectopia (TTE) is a rare pathology resulting from the migration of both testicles into the same scrotal compartment. Although rare some cardiac anomalies had been reported with TTE but coexistence of TTE and coarctation of aorta (CoA) has not been reported before.
Case Report: Here we describe a 6-month old patient with TTE who presented with swelling in the left inguinal region, left undescended testicle, and impalpable testicle on the right side. The prenatal diagnosis of cardiac enlargement and clinical findings let us diagnose severe CoA that had to be managed immediately. The ultrasound examination showed the presence of two testicles in the left inguinal area and a laparoscopic procedure, trans-septal orchiopexy, was applied. In our patient, the right testicle had an ectopic location, while undescended testis, hernia and ectopic testis were on the left side.
Conclusion: Although rare, TTE should be considered in differential diagnosis of cryptorchidism and it might be present with other congenital abnormalities.

Keywords: transverse testicular ectopia, inguinal hernia, coarctation of aorta, transeptal orchiopexy

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Transvers Testiküler Ektopia ve Aort Koarktasyonu Birlikteliði: Yeni Bir Antite mi ?

Necla Gürbüz Sarýkaþ
Kocaeli Saðlýk Bilimleri Üniversitesi, Derince Eðitim ve Araþtýrma Hastanesi, Çocuk Cerrahisi, Kocaeli, Türkiye

Amaç: Transvers testiküler ektopi (TTE), her iki testisin ayný skrotal kompartmana taþýnmasýndan kaynaklanan nadir bir patolojidir. Nadir de olsa TTE ile bazý kardiyak anomaliler bildirilmiþ ancak daha önce TTE ile birlikte aort koarktasyonu (CoA) bildirilmemiþtir.
Olgu Sunumu: Burada sol inguinal bölgede þiþlik, solda inmemiþ testis ve sað impalpabl testis nedeniyle baþvuran 6 aylýk TTE hastasý sunulmaktadýr. Olgunun prenatal taný ve klinik bulgularla kardiyak geniþlemesi olduðu tespit edlip, hemen tedavi edilen ciddi CoA mevcuttu. Ultrasonda, sol inguinal bölgede iki testis varlýðý gösterildi. Olguya laparoskopik Trans-septal orþiopeksi prosedürü uygulandý. Hastamýzda sað testis ektopik yerleþime sahipken inmemiþ testis, fýtýk ve ektopik testis sol taraftaydý.
Sonuç: Nadir olmasýna raðmen, TTE kriptorþidizmin ayýrýcý tanýsýnda düþünülmeli ve diðer konjenital anormallikler ile birlikteliði akla gelmelidir.

Anahtar Kelimeler: transvers testiküler ektopi, inguinal herni, aort koarktasyonu, transseptal orþiopeksi

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