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Acquired cryptorchidism: an unexpected consequence of inguinoscrotal lymphatic malformation treated with Eppikajutsuto

Authors :
Narito Takada
Tamaki Iwade
Koichi Ohno
Elena Yukie Uebayashi
Source :
BMJ case reports. 14(10)
Publication Year :
2023

Abstract

Lymphatic malformation (LM) that causes inguinoscrotal swelling is extremely rare. Surgery, sclerotherapy and pharmacotherapy have been reported as possible treatment options for LM. Recently, Eppikajutsuto (TJ-28), a traditional Japanese herbal medicine has emerged as therapeutic option for LM. We report the case of a 2-year-old boy who presented with a left inguinoscrotal swelling, which was diagnosed as retroperitoneal LM extending into the left scrotum. The surgical approach was less favourable, given the risk of damaging the testicular vasculature or the spermatic cord. Therefore, the patient received medical treatment with TJ-28. As a result, a volume reduction of 83% was obtained, as well as the unexpected consequence of the left testicle retracting into the inguinal area. Laparoscopic exploration was performed and a small bulge on the internal inguinal ring was detected. The patient’s acquired cryptorchidism was subsequently treated by orchidopexy.

Details

ISSN :
1757790X
Volume :
14
Issue :
10
Database :
OpenAIRE
Journal :
BMJ case reports
Accession number :
edsair.doi.dedup.....5ac09aff98e12d91604e8d518dd11156