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Case Reports
. 2019 Sep 18:28:101023.
doi: 10.1016/j.eucr.2019.101023. eCollection 2020 Jan.

Epididymal polar dissociation: A rare entity

Imad Matta  1 , Elie Ghabi  2 , Rana Abi Tayeh  3 , Edward Assaf  1 , Walid Al Hajj Obeid  1
Affiliations
Case Reports

Epididymal polar dissociation: A rare entity

Imad Matta et al. Urol Case Rep. .

Abstract

Epididymal fusional anomalies have been found to be associated with conditions of testicular maldescent with the several studies investigating this association reporting several variations in epididymal anatomy and epididymal-testicular fusion. To our knowledge, a single case of an isolated lower epididymal pole with a normal vas deferens, dubbed "Epididymal Polar Dissociation", has been reported in the literature. In this report, we report the second case of epididymal polar dissociation discovered in a 17-year-old during surgical management of left testicular torsion.

Keywords: Epididymis; Fusion; Polar dissociation; Testicular torsion.

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Figures

Fig. 1
Fig. 1
Doppler ultrasound of the left testis demonstrating compromised blood flow.
Fig. 2
Fig. 2
Intraoperative photo demonstrating the anatomic variation. (Clear arrow: superior pole of the epididymis. Solid arrow: Lower pole of the epididymis. Clear arrowhead: vas deferens. White arrowhead: spermatic cord. Black arrowhead: vascular bundle of the lower epididymal pole).
See this image and copyright information in PMC

References

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