Management of a Rare Case: Transverse Testicular Ectopia Associated With Persistent Mullerian Duct Syndrome

Year 2021, Volume: 74 Issue: S1 , 108 - 111 , 27.04.2026

Mehmet Semih Demirtaş , Mustafa Tuşat

https://izlik.org/JA38TD46PW

Abstract

Transverse testicular ectopia (TTE) is a rare congenital anomaly in boys, which is characterized by the migrate of both testicles towards the same
hemiscrotum or inguinal region. TTE cases are accompanied by the characterized persistent mullerian duct syndrome, which is phenotypically male,
with the presence of mullerian duct structures. Persistent Müllerian duct syndrome is caused either by the genetic defect of the anti-mullerian
hormone or its receptor. In this case, we reported a TTE associated with persis-tent mullerian duct syndrome in a 12-year-old boy who presented
with swelling in the right groin and non-palpable left testis. The patient was treated with high ligation of the hernia sac, excision of mullerian
structures and transseptal orchiopexy. In the surgical approach of the cases, we think that removing the mullerian structures as much as possible
and making the testicles palpable without damaging the testicles and other adjacent structures are important.

Keywords

Transverse Testicular Ectopia , Persistent Mullerian Duct Syndrome , Inguinal Hernia

References

• Demirtaş, M. S., & Tuşat, M. (2021). Management of a rare case: Transverse testicular ectopia associated with persistent Mullerian duct syndrome. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 74(Suppl 1), 108-111. DOI: 10.4274/atfm.galenos.2021.84856