ALİ AKKOÇ, MURAT DIRAMALI, Selçuk ALTIN, Ramazan TOPAKTAŞ, CEMİL AYDIN, Yasin ARİFOĞLU, Ahmet METİN

Perineal Ectopic Testis: An Unusual Cause of Perineal Pain and Empty Scrotum

Perineal ektopik testis, testisin penoskrotal rafe ile genitofemoral katlantı arasında anormal yerleşmesi olarak tanımlanan nadir bir doğumsal anomalidir. Etiyopatogenezi tartışmalı olup, sıklıkla inguinal herni, hipospadyas ve diğer skrotal anomalilerle beraberdir. Göreceli olarak nadirdir ancak kolay tanı konulur ve orşiopeksi ile kolaylıkla tedavi edilebilir. Fizik muayenede boş skrotum ve ele gelen perineal kitle ile kolayca tanınabilir. Histopatolojik olarak inmemiş testisten daha iyidir. Bu sunumda sağ testisin yerinde olmaması ve perineal ağrı şikayeti ile başvuran 21 yaşındaki olguda orşiopeksi ile tedavi edilen bir perineal ektopik testis vakası sunulmuştur.

Perineal Ağrı Ve Boş Skrotumun Nadir Bir Nedeni: Perineal Ektopik Testis

Perineal ectopic testis is a rare congenital anomaly in which the testis is abnormally situated between the penoscrotal raphe and the genitofemoral fold. Etiopathogenesis of perineal ectopic testis is controversial. Perineal ectopic testis is frequently associated an inguinal hernia and can sometimes be associated with other disorder such as hypospadias and scrotal anomalies. Perineal ectopic testis is relatively rare but is easily recognized and treated by orchiopexy. Diagnosis is easily based on physical examination that reveals an empty scrotum and a soft tissue mass in perineal region. Histopathologically, the course of perineal ectopic testis is better than undescended testis. We report a 21 years old male with perineal pain and empty right scrotal sac. He was diagnosed to have perineal ectopic testis and was treated with orchiopexy.

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