title: Complete urogenital nonunion.
abstract: A 7.5-year-old boy was admitted to our department with left undescended testis. On surgical exploration, the vas deferens and epididymis were normal in appearance in its route to the scrotum, but no obvious testis or testis-like structure was identified. Exploration was extended to the abdominal cavity via the processus vaginalis, and the testis was found near the sigmoid colon without any connection to the vas deferens and epididymis. The testis was freed from surrounding structures preserving the testicular vasculature, and an orchidopexy was performed. In cases of nonpalpable testis with the vas deferens and epididymis reaching to the scrotum, an intra-abdominal testis owing to a nonunion phenomenon must be considered, and extended exploration should be performed.
authors.affiliation: Department of Pediatric Surgery, Dr Sami Ulus Children's Hospital, Ankara, Turkey. ayseuk@gmail.com
authors.forename: Ayşe
authors.initials: A
authors.lastname: Karaman
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Karaman
authors.forename: Engin
authors.initials: E
authors.lastname: Yılmaz
authors.forename: Beytullah
authors.initials: B
authors.lastname: Yağız
authors.forename: Ismet Faruk
authors.initials: IF
authors.lastname: Ozgüner
mesh_terms: D002648:Child; D003456:Cryptorchidism / Q000209:etiology* / Q000601:surgery; D004822:Epididymis / Q000196:embryology / Q000601:surgery*; D006801:Humans; D008297:Male; D013737:Testis / Q000002:abnormalities* / Q000098:blood supply / Q000196:embryology / Q000601:surgery; D014649:Vas Deferens / Q000196:embryology / Q000601:surgery*