Ectopic Testicle
photo by Janelle Aby, MD
During descent, it is possible for the testicle to pass through the inguinal ring and then veer off course into an aberrent location. On examination of this infant, the right testicle was absent from the scrotum, but a mass was appreciated over the perineum. Ultrasound confirmed the diagnosis of ectopic testicle. Ectopic testicles may be found in the superficial inguinal pouch, the suprapubic area, the perineum, the femoral canal, or even the other side of the scrotum. This may eventually require surgical intervention, but it does not present a contraindication to neonatal circumcision if the parents desire it. (Note the fresh circumcision site in the photo!)
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