Scrotoshisis, bilateral extra-corporeal testicular ectopia and testicular torsion

Extracorporeal Testicular Ectopia through Femoral Region: A Rare Variant of Scrotoschisis

A 2-year-old male child presented to us with absent left testis in scrotum since birth. Parents noted a pinkish white globular mass in medial aspect of left thigh. At the time of presentation (2 years old) he had a 2 x 2 cm, firm, subcutaneous swelling located on the medial aspect of the left thigh. Ultrasonography was suggestive of left ectopic testis of size 1 x 1.2cm in the femoral region. Orchidopexy was done. In our case the term scrotoschisis will not be appropriate as testicular extrusion has occurred through femoral region and not the scrotum. This can be considered as extracorporeal testicular ectopia or bubonoschisis, respective to the location of the defect. We are reporting a case of extra corporeal testicular ectopia through the femoral region for the first time.

A Case of Scrotoschisis with Exteriorization of Both Testes

Scrotoschisis is a congenital malformation characterized by testicular exstrophy through a scrotal defect. We report a full-term baby boy with exteriorization of both testes through a right parietal scrotal defect. Bilateral testes extrusion through a lateralized scrotoschisis can occur due to a scrotal septal defect.

Bilateral scrotoshisis a rare entity: case report

Background

Scrotoschisis is a rare anomaly in which the testis is lying outside scrotum congenitally. Only few cases have been reported in literature under different names most of which are unilateral. We have found only one case of bilateral scrotoschisis in literature.

Case presentation

Newborn presented to us after normal term twin delivery as a case of bilateral scrotoschisis in which both testes were lying outside the scrotum congenitally. Baby underwent uneventful bilateral orchiopexy and was discharged home the next day.

Conclusion

Scrotoschisis is a very rare genital anomaly with only a few cases reported in literature. This report would add to the literature which would help in studying the exact mechanism and embryopathogenesis of this anomaly which is not known yet.

Scrotoschisis in a neonate with meconium peritonitis and periorchitis

We present the case of an infant born with scrotoschisis and evidence of meconium periorchitis and peritonitis. A scrotal defect was noted with exposure of the left testis and spermatic cord. Meconium peritonitis and periorchitis were confirmed on operative exploration. Given the history, cystic fibrosis was suspected, but initial screening and diagnostic tests were negative.

A rare case: testicular exstrophy or scrotoschisis? A report and discussion

Anomalies of testicular descent are very common but scrotal wall deformity leading to extrusion of testes is very rare. This anomaly is described as scrotoschisis or testicular exstrophy. In English literature less than 15 cases were reported till date to the best of our knowledge. A rare case of unilateral testicular exstrophy in a full term 3-day-old neonate is reported here along with review of literature and discussions on probable etiology.

Scrotoschisis: An extremely rare congenital anomaly

A rare case of unilateral scrotoschisis in a full term infant delivered by Caesarean section is reported.

Scrotoschisis: an extremely rare congenital uropathy

Scrotoschisis, the congenital extrusion of the testis through the scrotal wall, is very rare. We describe a new case and review the pertinent published data. A male neonate presented with left scrotoschisis that was repaired successfully with a Denis-Browne trans-scrotal orchiopexy, with antibiotic coverage. The testes were intrascrotal and symmetric after 2 years of follow-up. Most cases of scrotoschisis are unilateral and affect normal males. The immediate prognosis is good, but long-term results are not available. The etiology of the disease is unknown, but it might be related to spontaneous healed fetal intestinal perforations with meconium peritonitis.

Could scrotoschisis mimic an iatrogenic injury? A case report

Scrotoschisis is a rare congenital defect of the scrotal sac associated with extrusion of one or both testicles. Only 9 cases have been reported in the literature. The exact mechanism causing this rare congenital defect is unknown. We describe a case of unilateral scrotoschisis in a 35-week preterm infant delivered by cesarean section. The defect was repaired under local anesthesia within a few hours after birth, with good healing noted on follow-up. Scrotoschisis in an infant after delivery by cesarean section has been reported only once before. Although a laceration of scrotum during cesarean section was considered, it seemed unlikely.

Scrotoschisis associated with meconium periorchitis

Scrotoschisis is a rare congenital defect in the scrotal wall resulting in testicular exposure or exstrophy. We report the case of a newborn presenting with a large scrotal wall defect exposing both testicles. The tunica vaginalis appeared to be intact on both sides. Although the pathogenesis of scrotoschisis remains unclear, a proposed mechanism for its occurrence and the management in this case are presented in detail.

Anterior abdominal wall--an unusual site for ectopic testis

Testicular descent can be described in two phases, the transabdominal and the inguinoscrotal. During the inguinoscrotal phase, the testis may deviate from the normal path of descent and "migrate" to an abnormal location; this is called ectopic testis and is a relatively uncommon condition. The common sites for ectopic testes include the superficial inguinal pouch, the perineum, the opposite side of the scrotum, the femoral canal, and the pubopenile region. In addition to these well-recognized sites, preperitoneal and extracorporeal ectopic testes, which are extremely rare, have been reported. We report yet another rare site for ectopic testis, the anterior abdominal wall, probably the first of its nature to be reported in the English literature.