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VOLUME 7 , ISSUE 1 ( January-March, 2021 ) > List of Articles

CASE REPORT

Long Loop Vas: A Sinister Association?

Anjala Kumar, Keshavamurthy, Girish Malvalli

Keywords : Cardiovascular, Children, Hydronephrosis, Gubernaculum

Citation Information : Kumar A, K, Malvalli G. Long Loop Vas: A Sinister Association?. J Med Sci 2021; 7 (1):14-15.

DOI: 10.5005/jp-journals-10045-00163

License: CC BY-NC 4.0

Published Online: 19-02-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Undescended testis in children is a common condition in a daycare setting. It presents clinically either as palpable or non-palpable, although the former is more common. The two children whom we came across presented with non-palpable testis, were incidentally found to have unilateral hydronephrosis. In both the children, the testis was reported to be in the iliac fossa near the deep inguinal ring on ultrasound. However, the palpation of cord structure with a vaguely palpable flabby scrotal content prompted to do an open orchidopexy in both of them, citing a possibility of a nubbin. During gubernacular dissection, in one child, the vas was found looping beyond the superficial inguinal ring and when traced cranially led to the testis popping out from the deep ring. In the other child, the testis was found in the inguinal canal with vas looping distal to it. It is important at this point to bear in mind this variation to prevent accidentally transecting the vas while dividing the gubernaculum. Highlights: • Anomalies of vas in association with undescended testis are rare and are even rarer with an added hydronephrosis as an association. • This observation has not been reported in the literature so far.


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