Undescended testis

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Empty left hemiscrotum.

Patient Data

Age: 25
Gender: Male
MRI

MRI pelvis

Empty left hemiscrotum.

Oval testis-like structure is noted at the pelvis adjacent, and medial, to the left external iliac vessels just lateral to the urinary bladder, measuring about 3 x 2 x 2 cm.

The right testis is seen within the right hemiscrotum, showing normal signal intensity with no focal lesions seen. It measures 5.5 x 3.5 x 3.0 cm.   

Small volume inguinal nodes.

Incidentally noted, midline 1.5 cm prostatic cyst, most likely a utricle cyst.

Case Discussion

This case represents an undescended left testis, lying within the pelvic cavity, just medial to the ipsilateral external iliac vessels with normal MRI features of the right testis within its respective hemiscrotum. MRI is the optimal cross-sectional modality to assess cryptorchidism. Diffusion-weighted MRI shows diffusion restriction of the undescended testis, and helps to differentiate it from surrounding structures. An enlarged inguinal or intra-abdominal lymph node may be mistaken for the ectopic testis on ultrasound, although a skilled sonographer can usually differentiate between the two.

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Case information

rID: 54672
Case created: 21st Jul 2017
Last edited: 30th Jul 2017
System: Urogenital
Inclusion in quiz mode: Included

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