Perineal Ectopic Testis in One and A Half Year Old Child As A Rare Congenital Anomaly: A Case Report
Ektopik Testis Perineal pada Anak Satu Setengah Tahun Sebagai Kasus Kelainan Kongenital Yang Langka: Laporan Kasus
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(1) * Prima Ardiansah Surya
Indonesia
(2) Ashifa Hasna Faadilah RSU Aisyiyah Ponorogo
Indonesia
(3) Sriyono RSU Aisyiyah Ponorogo
Indonesia
(*) Corresponding Author
Abstract
Ectopic testis is described as an abnormality of testicle development in which one or both testicles aren’t descending through the testicle normal pathways. Among all newborns with undescended testis, only 1% are diagnosed as ectopic testis. In this case, an 18 months old boy was presented to hospital with chief complaint of impalpable testis dextra. Phsical examination showed the right testis was not palpable in the scrotum and perineum. Ultrasonography examination showed a right testis in the perineum with normal volume and vascularization. Right orchidopexy was performed to correct the location of the testis. Early diagnostic of ectopic testis must be done through anamnesis, physical examination, and advanced examination. Limited faciliiesy and lack of parental knowledge make the patients come late to health facility. The conclusion of this study is knowledge among parents and skills of health workers concerning congenital anomaly especially undescensus testis should be improved.
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Nepal, P., Kumar, D., Ojili, V., 2018. Abnormal descent of the testis and its complications: A multimodality imaging review. Radiological Society of South Africa. 22(1): 1374. doi: 10.4102/sajr.v22i1.1374 DOI: https://doi.org/10.4102/sajr.v22i1.1374
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Ritzen, E.M., Bergh, A., Bjerknes, R., Christiansen, P., Cortes, D., Haugen, S.E., Jorgensen, N., Kollin, C., Lackgren, G., Main, K.M., Nordenskjold, A., Meytz, E.R., Soder, O., Taskinen, S., Thorsson, A., Thorup, A., Thorup, J., Toppari, J., Virtanen, H., 2007. Nordic consensus on treatment of undescended testes. Acta Paediatrica. 96(5): 638-43. doi: 10.1111/j.1651-2227.2006.00159.x DOI: https://doi.org/10.1111/j.1651-2227.2006.00159.x
Setchell B.P., 1998. The parkes lecture. Heat and the testis. Journal of Reproduction and Fertility. 114(2):179-94. doi: 10.1530/jrf.0.1140179 DOI: https://doi.org/10.1530/jrf.0.1140179
Soomro, S., Mughal, S.A., 2008. Perineal ectopic testis - a rare encounter in paediatric surgical practice. Journal of the College of Physicians and Surgeons Pakistan. 18(6): 386-7.
Snodgrass, W., Bush, N., Holzer, M., Zhang, S., 2011. Current referral patterns and means to improve accuracy on diagnosis of undescended testis. Pediatrics: 127(2): 238-388. doi: 10.1542/peds.2010-1719 DOI: https://doi.org/10.1542/peds.2010-1719
Suryawan, I.W.B., Yati, N.P., Batubara, J.R.I. (2017). Diagnosis dan Tatalaksana Kriptorkismus. Badan Penerbit Ikatan Dokter Anak Indonesia.
Thundathil, J.C., Rajamanickam, G.D., Kastelic, J.P., Newton, L.D., 2012. The effects of increased testicular temperature on testis-specific isoform of Na+/K+ -ATPase in sperm and its role in spermatogenesis and sperm function. Reproduction in Domestic Animals. 47(4): 170-7. doi: 10.1111/j.1439-0531.2012.02072.x DOI: https://doi.org/10.1111/j.1439-0531.2012.02072.x
Ulubay, M., 2019. Perineal ectopic testis: A rare congenital anomaly. Urology Case Reports. 24: p.100853. doi: 10.1016/j.eucr.2019.100853 DOI: https://doi.org/10.1016/j.eucr.2019.100853
Virtanen, H.E., Cortes, D., Meyts E.R.D., Ritzen, E.M., Nordenskjold, A., Skakkebaek, N.E., Toppari, J., 2009. Development and descent of the testis in relation to cryptorchidism. Acta Paediatrica. 96(5): 622-627. doi: 10.1111/j.1651-2227.2007.00244.x DOI: https://doi.org/10.1111/j.1651-2227.2007.00244.x
