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 UNUSUAL CASE
Year : 2015  |  Volume : 11  |  Issue : 3  |  Page : 213-215

Laparoscopic management of transverse testicular ectopia with persistent mullerian duct syndrome


Department of Pediatric Surgery, Lokmanya Tilak Muncipal Medical College and government Hospital, Sion, Mumbai, India

Correspondence Address:
Dr. R S Kamble
MCh Pediatric Surgery, Department of Pediatric Surgery, LTMMC and LTMG Hospital, Sion, Mumbai, 400022, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.152093

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A 4-month-old male child presented with right undescended testis and left inguinal hernia with funiculitis. Ultrasonography showed funiculitis on the left side testis along with presence of 1.5 × 1 cm testis like structure just above left testis and empty right scrotal sac without any evidence of mullerian structures. On diagnostic laparoscopy, right testicular vessels were crossing from right to left and had uterus with both testes in left hernia sac. Mobilization of vessels, division of uterus, and hernia repair was done laparoscopically. On the review of literature, there is only one case report of total laparoscopic repair of transversetesticular ectopia (TTE) with hernia without persistent mullerian duct (PMDS). The uniqueness of our case is that it had TTE with hernia and PMDS, which were totally managed by laparoscopy. On 6 months of follow-up, both the testes are palpable in scrotum.






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