Presentation
Young male with empty scrotal sac.
Patient Data
The scrotal sac is empty. The left testicle is ectopic and small in size, located in the subcutaneous fat of the left anterior abdominal wall. It shows normal signal intensity with no focal lesions. The right testicle could not be identified.
The left testicle is small in size, it shows normal echotexture and blood flow.
Case Discussion
Undescended testis is one that is located anywhere along the normal course of testicular descent from the lower pole of the kidney to the superficial inguinal ring. Ectopic testis is one that is located in aberrant position off the normal path of testicular descent.
As the superficial inguinal pouch, perineum, contralateral side of the scrotum, femoral canal as well as the pubopenile region are common locations of ectopic testis. Abdominal wall testis is the rarest form of ectopia (only few cases have been reported in literature) 1.
This is a case of a young male with empty scrotal sac. MRI was performed to localize the testicles, the left testicle appeared ectopic located in the left anterior abdominal wall. The right testicle could not be identified on the MRI examination. On ultrasound examination the ectopic left testicle appeared small in size, it showed normal echotexture and blood flow.