De-Silva-Gutiérrez A, Martínez-Méndez ME, Osorio-Campos J, Arcos-Marcín M, Morales-Díaz J

Language: Spanish
References: 12
Page: 63-66
PDF size: 227.45 Kb.

ABSTRACT

Objective: To report 2 cases of abdominal cryptorchidism emphasizing the points of interest of this pathology.
Materials and Methods: CASE 1: The patient is a 3-year-old male presenting with absence of testicle in the right scrotal bag. Abdominopelvic ultrasonography (USG) showed the testicle to be located near the iliac vessels. Tumor markers reported an alpha-fetoprotein elevation of 18 ng/ml. Laparoscopic orchiectomy of the ectopic testicle was performed and the pathology study reported confined yolk-sac germ cell intratesticular neoplasia. At 9-month follow-up the patient shows normal growth and development. Tumor markers are negative and tomography studies are normal.
CASE 2: The patient is a 14-year-old male presenting with absence of testicle in the right scrotal bag. USG and tomography showed the testicle to be located in the pelvic hollow. Tumor markers were negative. Laparoscopic orchiectomy was uneventful and the pathology report described an atrophic testicle.
Discussion: Testicular ectopy increases the risk of developing neoplasia and this possibility must be fully studied before deciding to descend a testicle. Therapeutic decisions in these cases are complex. Laparoscopic orchiectomy of abdominal testicles is a simple, safe, efficient and minimally invasive procedure for treating these patients.

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