Cystic dysplasia of testis associated with ectopic ureter causing chronic orchalgia.
Cystic dysplasia of the testis (CDT) is a rare entity that typically does not present with orchalgia in affected patients. Most patients with CDT are asymptomatic and have ipsilateral renal malformations. Our patient with CDT was referred because of prolonged unilateral orchalgia. Computed tomography demonstrated an ipsilateral atrophic kidney and hydro-ureter traveling posterior to the bladder. Orchalgia resolved with resection of the dysplastic kidney and ectopic ureter, which drained to an enlarged seminal vesicle. Atypical symptoms associated with CDT, such as chronic orchalgia, should prompt additional investigation to rule out concomitant malformations. This is the first report of an ectopic ureter associated with CDT.
McGee
Shawn M
SM
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA. mcgee.shawn@mayo.edu
Hutcheson
Joel C
JC
Vandersteen
David R
DR
Reinberg
Yuri
Y
Wolpert
James J
JJ
D000015:Abnormalities, Multiple; D000293:Adolescent; D002908:Chronic Disease; D003560:Cysts / Q000150:complications*; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology*; D012669:Seminal Vesicles / Q000002:abnormalities*; D013733:Testicular Diseases / Q000150:complications*; D014513:Ureter / Q000002:abnormalities*