Muhammad Talat Mehmood, Javed Ahmad, Muhammad Shahab Ather.
Transverse Testicular Ectopia and persistent Mullerian Duct Syndrome: A rare association
J Coll Physicians Surg Pak May 2002;12(5):320-1.
Department of Paediatric Surgery, Dow Medical College and Civil Hospital, Karachi

Transverse testicular ectopia is rarely associated with persistent mullerian duct syndrome. A case of a 9 years old boy is reported who presented with right inguinal hernia and left undescended testis. During surgery, he was found to have transverse testicular ectopia associated with mullerian duct structures.

A 9 years old boy presented with history of absent left testis and right inguinal hernia. Examination revealed reducible right inguinal hernia with right scrotal testis. Left testis was not palpable. Ultrasound examination failed to localize left testis. The diagnoses of right sided inguinal hernia and left impalpable testis was made. Patient was scheduled for right inguinal hernia surgery. During herniotomy mobilization of the right testis, another testis protruded through the deep ring. Abdominal exploration revealed mullerian duct structures, uterus and fallopian tubes. Left orchidopexy into the respective hemiscrotum through the median raphe of the scrotum (Trans-septal fixation), testicular biopsies and excision of the mullerian duct structures were carried out. Histopathological examination showed testicular tissues and mullerian duct structures. Postoperative recovery was uneventful. Patient is on regular follow-up.

Category: Case Reports
Keywords: Testis. Testis Undescended. Hernia. Mullerian Duct. Pseudohermaphroditism.

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