Table of Contents    
Case Report
 
Acquired cryptorchidism in an ectopic location
Jasneet Singh Bhullar1, Edmund Cheung1
1Department of Urology, National University Hospital, Singapore.

doi:10.5348/ijcri-2012-08-159-CR-6

Address correspondence to:
Jasneet Singh Bhullar, MD
Department of Surgery, Providence Hospital & Medical Centers
16001 West Nine Mile Road
Southfield, MI-48075
USA
Phone: 248-849-7638
Fax: 248-849-5380
Email: drjsbhullar@gmail.com

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How to cite this article:
Bhullar JS, Cheung E. Acquired cryptocrchidism in an ectopic location. International Journal of Case Reports and Images 2012;3(8):21–23.


Abstract
Introduction: Orchiopexy rates are reported to be as high as 2–3% in males up to the age of 17 years, despite a reported childhood prevalence of cryptorchidism of only about 1%. In light of this, several authors have postulated the existence of acquired cryptorchidism as a separate disease entity from congenital cryptorchidism.
Case Report: A case of acquired testicular ascent in a 19-year-old male. He was involved in a motorcycle accident and was found to have bilaterally retracted testes. Closed reduction of bilateral testes into the scrotum was performed under general anesthesia. Eight months after the initial surgery, the patient presented with spontaneous ascent of the left testis, which was not reducible. Intraoperatively the testis was found to be lying in an ectopic location, superficial to the inguinal canal lateral to the inguinal midpoint.
Conclusion: The authors present an unusual case of acquired testicular ascent in an ectopic location. Early surgical exploration is warranted in all cases of cryptorchidism to minimize the possibility of subsequent subfertility or malignant transformation.

Key Words: Congenital cryptorchidism, Acquired cryptorchidism, Testicular ascent, Retractile testes, Orchidopexy, Ectopic testes

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Author Contributions:
Jasneet Singh Bhullar – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Edmund Cheung – Conception and design, Acquisition of data, Analysis and interpretation of data, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Jasneet Singh Bhullar et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)