case_images: PMC8519711_01
case_images: Patient in standing and lying positions showing hypoplasia of right hemiscrotum and left suprascrotal bulge.
case_images: CRIU2021-4096762.001.jpg
case_images: PMC8519711_01_CRIU2021-4096762.001.jpg
case_images: fig1
case_images: On examination, there was a vacant, hypoplastic right hemiscrotum with no palpable right testis along its normal course; a normal looking left hemiscrotum containing a testis; an ovoid shaped mass at the left suprascrotal area which was firm, nontender and not fixed to the deep or superficial plane (Figures 1 and 2).
case_images: Examiner isolating two separate masses on the left path of testicular descent.
case_images: CRIU2021-4096762.002.jpg
case_images: PMC8519711_01_CRIU2021-4096762.002.jpg
case_images: fig2
case_images: On examination, there was a vacant, hypoplastic right hemiscrotum with no palpable right testis along its normal course; a normal looking left hemiscrotum containing a testis; an ovoid shaped mass at the left suprascrotal area which was firm, nontender and not fixed to the deep or superficial plane (Figures 1 and 2).
case_images: Laparoscopic view of the spermatic vessels (blue arrow) and vas deferens (yellow arrow) exiting the right "open" deep inguinal ring (red arrow).
case_images: CRIU2021-4096762.003.jpg
case_images: PMC8519711_01_CRIU2021-4096762.003.jpg
case_images: fig3
case_images: On laparoscopic evaluation under general anesthesia, the right spermatic vessels and vas were seen going through an open right deep inguinal ring (Figure 3).
case_images: Laparoscopic view of the spermatic vessels (blue arrow) and vas deferens (yellow arrow) exiting the left "closed" deep inguinal ring (red arrow).
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case_images: PMC8519711_01_CRIU2021-4096762.004.jpg
case_images: fig4
case_images: The spermatic vessels and vas on the left were seen traversing their corresponding closed deep inguinal ring (Figure 4).
case_images: (a) Left and right testes shown through a median raphe scrototomy looking macroscopically normal. (b) No fusion of vessels nor vasa, nor epididymotesticular separation.
case_images: CRIU2021-4096762.005.jpg
case_images: PMC8519711_01_CRIU2021-4096762.005.jpg
case_images: fig5
case_images: Both testis appeared macroscopically normal with no epididymotesticular fusion anomaly and unfused vasa deferentia (Figure 5).
case_images: (a) Right inguinal dissection. (b) Closure of a right patent processus vaginalis.
case_images: CRIU2021-4096762.006.jpg
case_images: PMC8519711_01_CRIU2021-4096762.006.jpg
case_images: fig6
case_images: Transseptal orchidopexy was undertaken for the right testis with its longer cord length (Figure 6), and an ipsilateral orchidopexy was done for the nondescended suprascrotal left testis (Figure 7).
case_images: Transseptal orchidopexy of the right testis and closure of the scrotal septum.
case_images: CRIU2021-4096762.007.jpg
case_images: PMC8519711_01_CRIU2021-4096762.007.jpg
case_images: fig7
case_images: Transseptal orchidopexy was undertaken for the right testis with its longer cord length (Figure 6), and an ipsilateral orchidopexy was done for the nondescended suprascrotal left testis (Figure 7).
case_images: Final aspect after bilateral orchidopexy and routine circumcision.
case_images: CRIU2021-4096762.008.jpg
case_images: PMC8519711_01_CRIU2021-4096762.008.jpg
case_images: fig8
case_images: The early postoperative period was uneventful with mild tenderness on palpation and a full-looking scrotum (Figures 8 and 9).
case_images: Scrotal aspect on day 5 postoperative.
case_images: CRIU2021-4096762.009.jpg
case_images: PMC8519711_01_CRIU2021-4096762.009.jpg
case_images: fig9
case_images: The early postoperative period was uneventful with mild tenderness on palpation and a full-looking scrotum (Figures 8 and 9).