A case report of laparoscopic orchopsis for transverse testicular ectopia via the Hesselbach route.

IF 2.1 3区医学 Q2 PEDIATRICS

Frontiers in Pediatrics Pub Date : 2025-05-30 eCollection Date: 2025-01-01 DOI:10.3389/fped.2025.1514662

Xu Zhuofan, Zhao Xudong, Yuan Boxiang

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引用次数: 0

Abstract

Background: Testicular transverse ectopia (TTE) is a rare congenital abnormality in which both testicles descend into the same hemiscrotum via a solitary inguinal canal. This condition is frequently linked with inguinal hernias and various urogenital irregularities, and it may manifest as an unoccupied opposite scrotum or as a discernible lump in the groin or scrotal area.

Patient presentation: A 9-month-old boy was diagnosed with a right inguinal hernia, which presented as a 3 cm × 3 cm palpable mass without pain upon examination. During surgery, both testicles were discovered to be undescended, fused by their ligaments, and had independent vas deferens, vascular supplies, and epididymides. The poorly developed testicles were fixed in the scrotum via Hei's triangle. Postoperative follow-up revealed normal testicular positioning, with no retraction, atrophy, or hernia recurrence.

Conclusions: Orchiopexy via Hei's triangle is a new surgical option for patients with Type I TTE who have insufficient length spermatic cord blood vessels.

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经Hesselbach路径行腹腔镜睾丸切除治疗睾丸横向异位1例。

背景：睾丸横向异位（TTE）是一种罕见的先天性异常，其两个睾丸通过单独的腹股沟管下降到同一个半阴囊。这种情况通常与腹股沟疝和各种泌尿生殖系统异常有关，它可能表现为对侧阴囊未被占据或在腹股沟或阴囊区域出现可识别的肿块。患者表现：一个9个月大的男孩被诊断为右腹股沟疝，检查时表现为3cm × 3cm可触及的肿块，无疼痛。在手术中，发现两个睾丸都下落，由韧带融合，有独立的输精管、血管供应和附睾。发育不良的睾丸经黑三角固定在阴囊内。术后随访显示睾丸定位正常，无回缩、萎缩、疝复发。结论：经Hei’s triangle行睾丸切开术是治疗精索血管长度不足的I型TTE患者的一种新的手术选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health

CiteScore

3.60

自引率

7.70%

发文量

2132

审稿时长

14 weeks

期刊介绍： Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.