Abstract
This 4-year-old child presented with nonpalpable testicles noted since birth and an intact prepuce with megameatus. During bilateral inguinal exploration, both testicles were located at the internal ring. The right gubernaculum appeared thin and attenuated distally. A tissue band extended from the right testicle to the small intestine. Figure 1 demonstrates this intestinotesticular ligament. The ligament was transected and histology demonstrated dense connective tissue. Testicular biopsy results revealed absent germ cells in the left testicle and moderately reduced total germ cells (TGC) per tubule (T) (0.5 TGC/T) in the right testicle. Both testicles demonstrated a severely reduced Leydig cell count.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
