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Atrophic testis

Case contributed by Dennis Odhiambo Agolah
Diagnosis certain

Presentation

History of left undescended testis post second stage Fowler Stephens.

Patient Data

Age: 15 Years
Gender: Male
ultrasound

Both testicles are within the scrotal sac. There is unilateral left-sided testicular atrophy measuring 0.1 ml in volume with subtly reduced color flow signals on color/ power Doppler imaging. The right counterpart testis is well encapsulated and is compensatorily larger measuring 17 ml in volume albeit with unremarkable parenchymal echo/vascular pattern. Serpiginous vascular structures (varices) are noted bilaterally along the pampiniform plexi.

Case Discussion

Atrophic left testis post 2nd stage fowler stephens with compensatory hypertrophy of the right testicular counterpart and attendant Grade I bilateral scrotal venous varicoceles. No hydroceles, masses/calculi or inguinal-scrotal hernias seen.

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