Multicystic kidney joined to the homolateral testis by an ectopic vas deferens: embryological hypothesis for a new description

Ectopic location of the vas deferens is a rare congenital anomaly with multiple variations. The frequent association with ano-rectal abnormalities and hypospadias is well known. We report two cases of a newborn and a 3-year-old child with ectopic vas deferens coupled with a left multicystic kidney w...

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Published inEuropean journal of pediatric surgery Vol. 8; no. 3; p. 178
Main Authors Dòmini, M, Aquino, A, Lima, M, Federici, S, Andriani, G, Sardella, L, Lelli Chiesa, P, Dòmini, R
Format Journal Article
LanguageEnglish
Published United States 01.06.1998
Subjects
Child, Preschool
Humans
Infant, Newborn
Kidney - embryology
Kidney - pathology
Kidney - surgery
Male
Polycystic Kidney Diseases - embryology
Polycystic Kidney Diseases - pathology
Polycystic Kidney Diseases - surgery
Prenatal Diagnosis
Testis - abnormalities
Testis - embryology
Testis - pathology
Testis - surgery
Vas Deferens - abnormalities
Vas Deferens - embryology
Vas Deferens - pathology
Vas Deferens - surgery
Wolffian Ducts - embryology
Wolffian Ducts - pathology
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Summary:Ectopic location of the vas deferens is a rare congenital anomaly with multiple variations. The frequent association with ano-rectal abnormalities and hypospadias is well known. We report two cases of a newborn and a 3-year-old child with ectopic vas deferens coupled with a left multicystic kidney without any ureteral structure. Furthermore, the latter had a contralateral vesicoureteral reflux and anal agenesis with recto-bulbar fistula. Our attempt with this report is to explain the development of such anomalous deferential outlet into the multicystic kidney, according to the most qualified theory of the Wolffian duct embryology.
ISSN:0939-7248
1439-359X
DOI:10.1055/s-2008-1071149