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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 12, Issue 1, September 2014 pp 121-122
Ectopic testicular tissue, vas deferens and epididymis with ileo-jejunal atresia –a rare case report
Rajesh Thakur1, Sandeep Dukare2, Shweta Ranka3, Vikas Narhire4, Priya Deshpande5
1,3,5Resident, 2,4Assistant Professor, Department of Pathology, S.R.T.R. Medical College, Ambajogai, Dist. Beed, Maharashtra, INDIA.
Introduction: Intestinal atresia can involve any portion of the small bowel. It is characterised by an obliteration of the bowel lumen and its replacement by a fibrous cord that connects proximal and distal segments. Its incidence is1:2500/5000 live births and the most common locations are distal ileum (36%) and proximal jejunum (31%). However, chromosomal abnormalities are not associated with the jejunum or ileal atresia/stenosis. Risk of intestinal atresia/stenosis increases with lower birth weight and lower gestational age. Objectives: To make aware that Ileo-jejunal atresia can occur with ectopic testicular tissue, vas deferens and Epididymis. Case History: Biopsy from a preterm low birth weight baby born at 32-34 weeks gestation with the complaints of not passing stool since 8-10 days was received. Gross - two small segments 1. Atretic fibrous cord like segment of ileum measuring 2cm in length; lumen obliterated. 2. Jejunum of length 3cm with one end blind and other showed a patent lumen; serosal and mucosal congestion seen. Sections stained with haematoxylin and eosin. Results: Severe submucosal congestion and myohypertrophy of the muscular layer of jejunum with atretic fibrous cord like ileum with ectopic testicular tissue, epididymis and vas deferens tissue; consistent with ileal atresia. Conclusion: Incidental finding of ectopic tissue is common in atretic segment while examining the atretic segment of small intestine we should be aware of ectopic tissues which can be seen and there is no literature at present on the above topic.