CC BY 4.0 · European J Pediatr Surg Rep 2019; 07(01): e96-e99
DOI: 10.1055/s-0039-1688485
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Testicular–Epididymal Dissociation: Vas and Vessels May “Lead up the Garden Path”

Eleni Papageorgiou
1  Department of Paediatric Urology, Great Ormond Street Hospital For Children NHS Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland
,
Alberto Mantovani
1  Department of Paediatric Urology, Great Ormond Street Hospital For Children NHS Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland
,
Elena Monti
2  Department of Paediatric Endocrinology, Great Ormond Street Hospital For Children NHS Foundation Trust, London, London, United Kingdom of Great Britain and Northern Ireland
,
Caroline Brain
2  Department of Paediatric Endocrinology, Great Ormond Street Hospital For Children NHS Foundation Trust, London, London, United Kingdom of Great Britain and Northern Ireland
,
Naima Smeulders
1  Department of Paediatric Urology, Great Ormond Street Hospital For Children NHS Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland
,
Abraham Cherian
1  Department of Paediatric Urology, Great Ormond Street Hospital For Children NHS Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland
› Author Affiliations
Further Information

Publication History

05 October 2018

24 March 2019

Publication Date:
13 December 2019 (online)

  

Abstract

The vas deferens and spermatic vessels entering the inguinal canal through the internal inguinal ring is thought to exclude an intra-abdominal testis. We present a case of high bilateral intra-abdominal testes on a 46,XY boy despite the vas deferens and good-sized vessels passing through the deep rings.

Data were collected from clinical records, radiology (ultrasound, magnetic resonance imaging [MRI]), and endocrine blood tests.

This case underlines the importance of following the pathway of embryological descent of the testis cranially as well as caudally during diagnostic laparoscopy, to avoid missing this rare anatomical variant.

Supplementary Material