A case of left undescended testis with ipsilateral ectopic kidney

Authors

  • Arti Mitra Department of Surgery, Govt Medical College, Nagpur, Maharashtra, India
  • Prenoy Araujo Department of Surgery, Govt Medical College, Nagpur, Maharashtra, India
  • Unmed Chandak Department of Surgery, Govt Medical College, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20185493

Keywords:

Kidney, Paramedian, Scrotal sac, USG

Abstract

Undescended testis is one of the most common congenital anomalies in newborns. Incidence of this is anywhere between 1.6% and 9.0%. The incidence dramatically drops to 0.9-1.8% at 3 months of age. This is due to the spontaneous descent of the testes. The complications of undescended testes are infertility and malignant transformation. A 29-year-old unmarried male patient came to the hospital with complained of absent of left testis within scrotal sac since birth and a left inguinal swelling since 1 year with no other complaints. On examination, the left scrotal sac was empty. The right side scrotum was normal and testis was palpable within scrotal sac. On USG, examination findings were confirmed Left testis seen in relation to lower pole of left kidney in left inguinal region with normal echo texture s/o left ectopic testis. Left kidney in pelvic region at paramedian location with hilum facing anteromedially s/o left ectopic kidney. Early diagnosis and surgical intervention is key so as to preserve the undescended testis and prevent malignant change or infertility problems. It is imperative that all tests be done to assess kidney function.

References

Virtanen HE, Toppari J. Epidemiology and pathogenesis of cryptorchidism. Hum Reprod Update. 2008;14:49-58.

Cascio S, Paran S, Puri P. Associated urological anomalies in children with unilateral renal agenesis. J Urol. 1999;162:1081-3.

Trigaux JP, Van Beers B, Delchambre F. Male genital tract malformations associated with ipsilateral renal agenesis: Sonographic findings. J Clin Ultrasound. 1991;19:3-10.

Thompson DP, Lynn HB. Genital anomalies associated with solitary kidney. Mayo Clin Proc. 1966;41:538-48.

Onwuchekwa RC, Sapira MK, Onwuchekwa AC. Unilateral renal agenesis coexisiting with bilateral cryptorchidism in an adult Nigerian: Case report. Niger Med J. 2009;50:71-3.

Van Blerk PJ. The kidneys, ureters and adrenals. In: Decker GA, du Plessis DJ, editors. Lee McGregor’s Synopsis of Surgical Anatomy. 12th ed. Indian edition. Mumbai: K.M. Varghese Company; 1986:297.

Bauer SB. Anomalies of the kidney and uretero-pelvic junction, in Cambell’s Urology, seventh edition, eds. Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ, Philadelphia. WB Saunders Company; 1998:1708-55.

Thompson GP, Pace JM. Ectopic kidney: A review of 97 cases. Surg Gynecol Obstet. 1937;64:935.

Gleason PE, Kellalis PP, Husmann DA, Kramer SA. Hydronephrosis in renal ectopia: Incidence, etiology and significance. J Urol. 1994;151:1660.

Boujnah H. Abid I, Moalla N. Zmerli S. Pelvic kidney Apropos of 50 cases. Ann Urol Paris. 1989;23:11-6.

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Published

2018-12-27

Issue

Section

Case Reports