Side Of Scrotum Research Articles

Transverse Testicular Ectopia: A Rare Case Report

Transverse testicular ectopia (TTE) is a rare but well-known congenital anomaly that occurs 1 in 4 million in which both testes migrate toward the same hemiscrotum. In most of the cases it is an intra-operative finding, but preoperative diagnosis can be made by careful history taking, physical examination and imaging studies. Further evaluation is very important because it can be associated with other congenital anomalies. We report a case of TTE in a 32 years old male who presented with sudden painful swelling in right inguinoscrotal region. Physical examination revealed right sided obstructed inguinal hernia and left sided non palpable testis with underdevelopment of left hemiscrotum. On exploration, one testis is found within the hernial sac and the other testis within scrotum of same side. The testis which was already in right side of scrotum was kept in same place and the other testis which was found within hernial sac was kept in subdartos pouch at the root of right side of scrotum. Faridpur Med. Coll. J. 2021;16(1):52-54

A rare case of colonic perforation presenting as Fournier’s gangrene

A 48-year-old obese gentleman with mild pain over abdomen for 10 days followed by pain and swelling in the right side of scrotum with skin discolouration for 2 days. Clinically necrotic patch with pus discharge was noted on the right side of scrotum. Extensive debridement over scrotum was done following which inflamed omentum and fecal contents were noticed from the inguinal canal. Patient underwent laparotomy and an ascending colonic perforation was found. A loop colostomy with partial omentectomy and inguinal hernia repair along with serial debridement of scrotal wound was done. Although uncommon, gastrointestinal perforations should be considered as a potential etiology in Fournier’s gangrene.

46 XX Ovotesticular Disorder of Sexual Development with Detected SRY (Sexdetermining Region Y) Gene: A Case Report

Ovotesticular disorder or true hermaphroditism is a condition in which an individual has both ovary and testis. The ovary is usually located on the left side, whereas the testis is on the opposite side. The SRY gene is detected in one third of cases of 46 XX ovotesticular DSD. The most common karyotype of ovotesticular DSD is 46 XX. Here, we report the case of a girl with SRY positive 46 XX karyotype diagnosed as ovotesticular DSD by gonadal biopsy. The patient presented with female phenotype and ambiguous genital since birth. The external genital showed an accessoria penile without OUE with rough right labia majora that looked like scrotum. Testicle was felt on the right side of scrotum. USG revealed no appearance of normal uterus, right testicle was visualized but no visualization of left testicle. Right and left ovaries were not clearly visualized. Karyotyping-46 XX and SRY gene was detected on 472 bp fragment on multiplex PCR of AZF/SRY gene analysis. Diagnostic laparoscopy showed left hemiuterus with fallopian tube and unilateral left side ovary. The shape and size of left fallopian tube was normal. Histopathologic examination report revealed left gonad was ovarium with primary follicle and right gonad was testicle with leydig cell and seminiferous tubules. This patient was decided as a girl. The operation was initiated and divided into 2 phases. The first phase was orchidectomy of the right side testicle and the second phase was genital reconstruction (clitoroplasty and labioplasty).

Transverse testicular ectopia in adults: A case series

Introduction: transverse testicular ectopia (ttE) or transverse aberrant testicular maldescent is a rare clinical entity where both testes descend into one side of scrotum. the patients having ttE often present with ipsilateral inguinal hernia associated with migrated ectopic testis and contralateral empty hemiscrotum and nonpalpable testis. case series: We are reporting two cases of a rare testicular descent anomaly where both patients presented with unilateral inguinal hernia with contralateral non-palpable testis and were diagnosed as transverse testicular ectopia intraoperatively. On examination, two separate cords were found to be coming out from same inguinal canal. there were no cord anomalies or remnant of Mullerian duct. In both of the cases inguinal hernia repair with orchiopexy was done. conclusion: In a patient with unilateral inguinal hernia and contralateral absent testis, a strong suspicion of ttE should be kept and

Bull castration by method of total scrotal ablation

In this work, a 2 years and 10 months old bull, with 14 days history of wound on the right side of scrotum was presented. A painful swelling coated by grayish pseudo membranes of necrotic epithelium and fibrin was observed in right lateroventral portion of the scrotum. The presented data enabled us to make decision of performing the total scrotal ablation. The intention was to prevent the influence of probable resorbed necrotic tissue on the vital status of the patient.

Intra-Scrotal Extra-Testicular Leiomyoma, a Common Mesenchymal Tumor at a Rare Site: Emphasizing the Need for Awareness of Its Occurrence

Leiomyoma is a benign tumor of smooth muscles. Leiomyoma originating from the scrotum is a rare entity. We report a case of 53-year-old African male who presented with a 3 cm lump in the right side of scrotum. Clinically, it was provisionally diagnosed as sebaceous cyst and was excised. The histopathology showed a leiomyoma. There was no cytological atypia or mitosis. The patient also had squamous papilloma over left gluteal region.

Primary extranodal marginal zone lymphoma - Epididymis

An elderly male presented with painful swelling in the right side of scrotum. He was treated with antibiotics for epididymoorchitis without any response. Ultrasound examination revealed a hypoechoic vascular mass in the tail of the epididymis. Fine needle aspirate cytology was inconclusive. Excision of the mass was done and biopsy revealed primary extranodal marginal zone lymphoma arising from mucosa associated lymphoid tissue (MALT) of epididymis. Marginal zone lymphoma arising from the MALT of epididymis is very rare. Lymphoma should be considered as a differential diagnosis of any epididymal swelling unresponsive to conservative treatment. We report a rare case of primary extranodal marginal lymphoma of MALT arising from epididymis.

Leiomyoma of scrotum

Leiomyoma is a benign tumor of smooth muscles. Leiomyoma originating from the scrotum is a rare entity. We report here a case of 50-year-old male who presented with a 4-cm lump in the left side of scrotum. Clinically, it was provisionally diagnosed as sebaceous cyst and was excised. The histopathology showed findings consistent with leiomyoma. There was no cytological atypia or mitosis. The final diagnosis of solitary leiomyoma of scrotum was given. The patient was followed up regularly and is doing fine for last 4 months.