Congenital scrotal agenesis is the rarest anomaly of scrotal development disorder and is characterized by the absence of scrotal rugae in the perineum between the penis and anus. We report here a case of hemiscrotal agenesis in a 2-year-old boy. To the best of our knowledge, our patient is the second reported case of hemiscrotal agenesis in the English literature.

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http://dx.doi.org/10.1016/j.jpurol.2012.09.005DOI Listing

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Article Synopsis
  • Hemiscrotal agenesis is a rare condition where one side of the scrotum is not developed, often treated surgically with techniques like orchiopexy or scrotoplasty, although there are very few documented cases (only eight).
  • A case study of a 6-year-old boy showed increased temperature in the undeveloped side of the scrotum, but his parents opted against surgery, and ultrasound tests showed both testes were normal.
  • The findings suggest that the higher temperature in hemiscrotal agenesis without cryptorchidism might not hinder testicular growth in young boys.
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Background: The origins of pyocele are primarily idiopathic, with reports suggesting the spread from intraperitoneal or hematogenous infection. However, we found no information in the literature regarding the pathogen's spread from the urinary tract.

Case Presentation: We report here a case of a 23-day-old term Iranian boy (Fars ethnicity) with complaints of new-onset fever, irritability, poor feeding, right hemiscrotal erythema, and edema.

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Zinner syndrome is a rare congenital malformation of the urogenital tract. It is due anomaly in the developmental of Wolffian duct. Zinner syndrome comprises triad of seminal vesicle cyst, unilateral renal agenesis and ipsilateral ejaculatory duct obstruction.

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Hemiscrotal agenesis: a novel phenotype of a rare malformation.

BMC Pediatr

November 2020

Pathology, Alexandria Faculty of Medicine, Alexandria, Egypt.

Background: Hemiscrotal agenesis (HSA) is an exceedingly rare congenital anomaly in scrotal development. It is characterized by unilateral absence of scrotal skin with intact midline raphe. In the English literature, only seven patients were diagnosed with HSA.

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Van der Woude syndrome (VWS) and popliteal pterygium syndrome (PPS) spectrum are due to genetic variants in the which phenotypically has been known to manifest with midline defects such as cleft lip and palate in VWS and additional nail, limb and genital anomalies in PPS. We report a case of VWS with the previously unrecognised phenotypic feature of hemiscrotal agenesis. While bifid scrotum has been reported in the more severe PPS, neither VWS nor PPS have previously noted hemiscrotal agenesis as part of the phenotypic picture.

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