Undescended testes

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Empty scrotum since birth.

Patient Data

Age: 35 years
Gender: Male

Pelvis

mri

Both scrotal cavities are empty.

The right testes is identified along supero-lateral aspect of the urinary bladder showing:

  • small in size measuring 2.6 x 1.5 cm
  • homogenous enhancement after contrast administration and diffusion restriction
  • small epidydemal cyst is noted measuring 1 cm

The left testes is identified along supero-lateral aspect of the urinary bladder showing:

  • small in size measuring 1.9 x 1.7 cm
  • homogenous enhancement after contrast administration and diffusion restriction

Both seminal vesicles showed normal signal pattern.

The prostate is of homogenous signal pattern with no focal lesion identified.

Case Discussion

A case of bilateral undescended testes, both are located at the pelvic cavity at the lateral aspect of the urinary bladder. MRI is the best imaging modality to assess cryptorchidism.

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