A Case of Unilateral Ectopic Scrotum Combined With Ipsilateral Renal Agenesis

Han, Y T; Woo, Y N; Park, J C

Abstract

Congenital malposition of the scrotum is an unusual condition. Fifteen cases of complete transposition of the scrotum and penis have been recorded, but only three previous reports, two from the United States and one from the Jamaica, of a unilateral ectopic scrotum. In 1969 we have experienced a case of unilateral ectopic scrotum in 14 year old Korean boy. This abnormality had been present from birth and also had been taken anoplasty for imperforated anus 3 days after birth and another operation for persistent urachus at his age of 3. His left scrotum was normal in position and size, and contained a palpably normal testis. There was definite median raphe present but no scrotal development to the right of this line. The penis was normal with normal external meatus. A large sac of skin, having the typical hyperpigmented wrinkled appearance of normal scrotum, was overlying an enlarged right external inguinal ring. The sac contained a normally developed testis We also found renal agenesis on right side, marked hydronephrosis, hydroureter and vesico-ureteral reflux on left by excretory urogram and cystourethrogram, respectively. So this fourth case is now reported with a review of some literatures.