case_images: PMC8052911_01
case_images: External genitalia showing empty right hemiscrotum with meatal opening at penoscrotal junction (arrow mark pointing the urinary meatus)
case_images: UA-13-76-g001.jpg
case_images: PMC8052911_01_UA-13-76-g001.jpg
case_images: F1
case_images: External genitalia revealed penoscrotal hypospadias and absent testis on the right side of the scrotum [Figure 1].
case_images: (a-c) Contrast-enhanced computed tomography abdomen and pelvis showing large complex cyst in the left side of the pelvis and rectovesical space
case_images: UA-13-76-g002.jpg
case_images: PMC8052911_01_UA-13-76-g002.jpg
case_images: F2
case_images: Contrast-enhanced computed tomography showed complex cysts in the pelvis and rectovesical space of size 12.5 cm x 7.5 cm x 6.5 cm and 12 cm x 6 cm x 5.5 cm, respectively, and both the kidneys appeared normal [Figure 2].
case_images: (a) Intraoperative picture showing dense adhesion between cyst, bladder, and left spermatic cord. (b) Resected specimen (cystic structure resembling uterus, cervix with cord structure, and left testis)
case_images: UA-13-76-g003.jpg
case_images: PMC8052911_01_UA-13-76-g003.jpg
case_images: F3
case_images: Furthermore, the left spermatic cord was adherent to the cystic structure, and hence, the left testis has to be sacrificed along with excision of the cystic structure [Figure 3].
case_images: (a) Excised gross specimen. (b) Histopathology showing poorly formed areas of endometrial glands and stroma. (c) Histopathology showing foci of the cervix. (d) Histopathology showing seminiferous tubules with spermatocytes and spermatogonia
case_images: UA-13-76-g004.jpg
case_images: PMC8052911_01_UA-13-76-g004.jpg
case_images: F4
case_images: Histopathological examination revealed features of Mullerian remnants (endometrial glands and cervix) in the cystic structure removed [Figure 4].