Intra Abdominal Testis- Role of Laproscopy in Search of Hidd
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A twelve year old boy was operated for right-sided undescended testis. Failure of uro-genital union was found with the right testis and caput epididymidis intra-abdominally situated, and the blind ending vas situated at the iliac vessels. The risk of development of malignancy in an intra-abdominal testis has been calculated to be one in 20 to 46 times greater than general population. We describe a case in whom impalpable undescended testes was located in a high position. This case highlights the importance of performing a thorough inspection of the entire abdomen and pelvis if the impalpable testis is not found in an expected location. The finding of a blind-ended vas deferens with epididymal tissue at the internal ring does not exclude an intra-abdominal testis. Management of the non palpable testis is consists of ultrasound, MRI, testicular venography, laproscopy....

http://medcraveonline.com/JPNC/JPNC-06-00251.php
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