Tuberculosis of transverse testicular ectopic testis associated with persistent mullerian duct syndrome.
A 10-month-old male infant presented with bilateral inguinal hernia and left un-descended testis. During right herniotomy, both gonads were found on same side with mullerian duct structures. On naked eye examination, both gonads were normal looking. Excision of mullerian duct remnant and fixation of ectopic testis was made. Histopathological examination revealed that gonads were testicles. Presence of multiple granulomas composed of Langhans cells and epithelioid cells in ectopic testicle suggested tuberculosis. Patient was kept on antituberculous therapy and was on regular follow-up without any complication.
Kella
Nandlal
N
Department of Pediatric Surgery Liaquat University of Medical and Health Sciences, Jamshoro, Hyderabad. nckella@yahoo.com
Rathi
Prem Kumar
PK
Qureshi
Mohammad Ali
MA
D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D000995:Antitubercular Agents / Q000627:therapeutic use; D002828:Choristoma / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D003456:Cryptorchidism / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D004359:Drug Therapy, Combination; D006552:Hernia, Inguinal / Q000151:congenital / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007223:Infant; D007538:Isoniazid / Q000627:therapeutic use; D008297:Male; D009095:Mullerian Ducts / Q000002:abnormalities*; D011718:Pyrazinamide / Q000627:therapeutic use; D012293:Rifampin / Q000627:therapeutic use; D013577:Syndrome; D013733:Testicular Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D014389:Tuberculosis, Male Genital / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D013521:Urologic Surgical Procedures, Male / Q000379:methods
D000995:Antitubercular Agents; D011718:Pyrazinamide; D007538:Isoniazid; D012293:Rifampin