Abstract
A complete penoscrotal transposition (CPST) is a very uncommon congenital maldevelopment that is always associated with other abnormal body variations (malformations). We report a rare case of a term neonate delivered with CPST, which had a flaccid penis and an intact scrotum with unilateral limb and digital deformity, imperforate anus, cardiac malformation a facial deformity. Neonate died two hours after delivery. The foetal abnormality was not detected through routine antenatal services received by the mother.
Highlights
There is a rare occurrence of congenital scrotal anomalies categorized as penoscrotal transposition (PST), bifid scrotum, ectopic scrotum, and accessory scrotum [1]
PST is generally associated with hypospadias and can either be described as complete or incomplete based on the location of the penis and scrotum [2]
Somoza et al [4] and Park et al [6] suggested that an abnormal positioning of the genital tubercle at the 6th gestation week concerning the scrotal swellings or a defective gubernaculum leads to PST
Summary
There is a rare occurrence of congenital scrotal anomalies categorized as penoscrotal transposition (PST), bifid scrotum, ectopic scrotum, and accessory scrotum [1]. In the 9th–11th week, the scrotal swellings migrate infero-medially and fuse in the midline caudal to the genital tubercle that forms the penis by the 12th week of gestation [4]. This is usually achieved under the influence of androgens and PST arises from abnormal or arrested migration due to poor response to androgens [5]. Case Reports in Urology that penoscrotal transposition is often part of a wider group of embryonic malformations that should be investigated prenatally for an informed decision on the progress of pregnancy and route of delivery [7] Such a case of CPST is described below
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