Gubernaculum with a long loop vas deferens

Abstract

Abstract Cryptorchidism by definition suggests a hidden testis: a testis that is not within the scrotum and does not descend spontaneously into the scrotum by six months of age. Cryptorchid testes may be absent or undescended. If they haven't descended by six months of age, they are unlikely to descend and generally require surgical manipulation into and attachment to the scrotum to avoid potential complications and sequelaes. This case describes an anatomical variation of vas deferens with gubernaculum which not previously reported in literature. A 9 month old boy was presented with diagnosis of left undescended testis and underwent standard orchiopexy operation. At the time of gubernacular dissection a long loop vas deferens without epididymis abnormalities was observed. A long loop of vas deferens originated from tail of epididymis and rotated up then formed a long loop with in the gubernaculum. This case reminds us of the possibility of anatomical variations and the importance of keeping them in mind to prevent complications at time of surgery.