Cases reported "Cryptorchidism"

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1/62. Laparoscopic diagnosis and treatment of splenogonadal fusion associated with intra-abdominal cryptorchidism in a child.

    The authors describe the surgical findings and laparoscopic treatment in a child with splenogonadal fusion associated with intra-abdominal cryptorchidism. laparoscopy was shown to be an excellent method for the diagnosis and treatment of this condition. No reports of similar cases using the technique were found in the literature.
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keywords = intra-abdominal
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2/62. Emergency laparoscopic orchidectomy for torsion of intra-abdominal testis: a case report.

    Torsion of an intraabdominal testis is a rare cause of acute abdominal pain. With a history of undescended testis, it is difficult to establish the diagnosis and to exclude other emergency abdominal conditions without a laparotomy. The following case report illustrates the usefulness of laparoscopy as a diagnostic as well as a therapeutic tool in such a condition.
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keywords = intra-abdominal
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3/62. An unusual cause of right iliac fossa pain.

    There are many causes of right iliac fossa pain. Arriving at the correct diagnosis is easier if an accurate history and examination is complemented with sensitive diagnostic evaluation. Though testicular pathology in an undescended testis may mimic other conditions (e.g., appendicitis), these patients may have symptoms from intra-abdominal pathology which is completely unrelated to their long standing testicular maldescent.
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keywords = intra-abdominal
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4/62. Persistent Mullerian duct syndrome presenting with bilateral intra-abdominal gonadal tumours and obstructive uropathy.

    Persistent Mullerian duct syndrome is a rare, autosomal recessive intersex disorder characterized by the presence of completely developed Mullerian duct derivatives in an otherwise normally virilized male with a 46, XY karyotype. We discuss a rare presentation of this disorder, bilateral gonadal tumours with obstructive uropathy, and its management, together with a review of the literature.
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keywords = intra-abdominal
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5/62. A novel mutation in the anti-mullerian hormone gene as cause of persistent mullerian duct syndrome.

    Persistent mullerian duct syndrome is a relatively rare inherited defect of sexual differentiation characterised by failure of regression of the mullerian ducts in males. In affected individuals, uterus and tubes are present because of defects of synthesis or action of anti-mullerian hormone (AMH), normally produced by the sertoli cells of the testis. patients are normally virilised, although mono- or bilateral cryptorchidism may be present. We observed two brothers (chromosomes 46 XY), aged 11 years and 2 months and 8 years and 3 months respectively, with bilateral cryptorchidism. The diagnosis of persistent mullerian duct syndrome was made on the basis of laparoscopic evidence of uterus and tubes, undetectable plasma levels of AMH and a 23 base pair duplicative insertion in exon 5 of the AMH gene, causing the introduction of a premature stop codon, homozygous in the two brothers. The surgical correction of the genital abnormalities was successfully carried out by laparoscopic orchidopexy according to Fowler-Stephens. CONCLUSION: Persistent mullerian duct syndrome should be taken into consideration in all cases of bilateral cryptorchidism. laparoscopy is the elective procedure for diagnosis of this disease and laparoscopic surgery for orchidopexy of intra-abdominal testes. mutation analysis of the anti-mullerian hormone gene in these patients helps to understand the structure-function relationship of the anti-mullerian hormone protein, although it is not clear at present whether anti-mullerian hormone is necessary to maintain normal testicular function.
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ranking = 0.2
keywords = intra-abdominal
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6/62. Evaluation and management of ectopic penile testis.

    Ectopic testes are found in the superficial inguinal scrotum, base of penis, perineum, or medial thigh. In cases in which the testis crosses the midline, the cord structures may cross intra-abdominally or after exiting the inguinal canal. We describe a patient with an ectopic testis located on the penile shaft ipsilateral to a scrotal testis. Diagnostic laparoscopy identified the cord structures exiting opposite the testis. A scrotal location was achieved using a single high scrotal incision. This case illustrates the utility of laparoscopy for the evaluation and management of a testis that crosses the midline.
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keywords = intra-abdominal
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7/62. Persistent mullerian duct syndrome and prostate cancer.

    A localized Gleason score 6 (3 3) prostate cancer was found in a 56-year-old man with bilateral cryptorchidism. Radical laparoscopic prostatectomy was performed. However, at the beginning of the procedure, a uterus, two fallopian tubes, and two intra-abdominal gonads were endoscopically identified. The mullerian rests were excised and the gonads biopsied. The histologic examination showed testicular tissue. The association of prostate cancer and persistent mullerian duct syndrome to our knowledge has not previously been reported. Prostate cancer is an androgen-dependent neoplasm, and patients with male pseudohermaphroditism have poor androgen production that should provide protection against it.
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ranking = 0.2
keywords = intra-abdominal
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8/62. Intra-abdominal testis with loop-like epididymis and intra-canalicular vas and vessels.

    A case of intra-abdominal testis with loop-like epididymis and intra-canalicular vas and vessels is presented. A 3-year-old male with left impalpable testis since birth was admitted to our department. physical examination and ultrasonography were inconclusive. laparoscopy revealed a small left abdominal testis with surrounding adhesions close to the left-obliterated umbilical artery. The vas deferens and spermatic vessels were entering into the internal inguinal ring. The processus vaginalis was patent. At inguinal exploration the testis was atrophic and the epididymis was loop-like, joining the vas deferens in the inguinal canal. The spermatic vessels continued to the atrophic testis in a loop-like manner. The testis, epididymis and the vas deferens were removed. Histopathological examination of the testis revealed sertoli cells only. If inguinal exploration had been performed without laparoscopy, the presence of the vas deferens and spermatic vessels in the inguinal canal with the absence of the testis could have been misdiagnosed as vanishing testis. Abdominal testis would thus have been missed, with increased risk of complications, particularly malignancy.
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ranking = 0.2
keywords = intra-abdominal
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9/62. Cryptorchid testicular tumour presenting with torsion.

    An undescended, cryptorchid testis is predisposed to 3 to 40 times risk of malignancy. Torsion of a cryptorchid testis is more difficult to diagnose than a normally placed testis. We present a case of a 25-year-old man with acute abdomen due to the torsion of an intra-abdominal testis. Subsequent histopathology of the testis revealed seminoma, making this single testis the seat for triple pathology. Orchidectomy was done followed by radiotherapy. A follow-up of upto nine months showed no recurrence or metastases.
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ranking = 0.2
keywords = intra-abdominal
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10/62. seminoma in an intra-abdominal testis misdiagnosed as a kidney tumor and associated with ipsilateral renal agenesis.

    We present a case of seminoma found in an intra-abdominal testis and associated with ipsilateral renal agenesis and absence of the ipsilateral seminal vesicle. Although malignant tumor degeneration in an undescended intra-abdominal testis is rare, understanding its radiologic appearance is important in order to confirm the diagnosis preoperatively and detect possible malformations of other organs.
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ranking = 1.2
keywords = intra-abdominal
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