title: Abdominal wall ectopic testis torsion mimicking a Spigelian hernia in an adult.
abstract: We report an unusual case of an ectopic testis identified in a 37-year-old man presenting with acute severe right iliac fossa pain and an irreducible mass. Initially diagnosed as a Spigelian hernia, computed tomography and ultrasonography identified the presence of an ectopic testis in the abdominal wall. Interparietal testicular ectopia is an extremely rare condition. We present and discuss the first case in the literature of an ectopic testis located between the internal and external oblique muscle layers of the anterior abdominal wall in an adult.
authors.affiliation: Norfolk and Norwich University Hospitals NHS Foundation Trust , UK.
authors.forename: M
authors.initials: M
authors.lastname: Natarajan
authors.affiliation: Norfolk and Norwich University Hospitals NHS Foundation Trust , UK.
authors.forename: H M
authors.initials: HM
authors.lastname: Alnajjar
authors.affiliation: Norfolk and Norwich University Hospitals NHS Foundation Trust , UK.
authors.forename: C I
authors.initials: CI
authors.lastname: Woodward
authors.affiliation: Norfolk and Norwich University Hospitals NHS Foundation Trust , UK.
authors.forename: M
authors.initials: M
authors.lastname: Tshuma
authors.affiliation: Norfolk and Norwich University Hospitals NHS Foundation Trust , UK.
authors.forename: T
authors.initials: T
authors.lastname: Marshall
authors.affiliation: Norfolk and Norwich University Hospitals NHS Foundation Trust , UK.
authors.forename: M
authors.initials: M
authors.lastname: Rochester
mesh_terms: D000071596:Abdominal Oblique Muscles / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D003456:Cryptorchidism; D003937:Diagnosis, Differential; D006555:Hernia, Ventral; D006801:Humans; D008297:Male; D013086:Spermatic Cord Torsion; D013737:Testis / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery
keywords: Adult; Cryptorchidism; Ectopic testis; Radiology; Spigelian; Torsion