Abstract

Anatomic alterations of the epididymis and vas deferens are frequent in cryptorchidism. During exploration in a 10- year-old boy, the testis with the head of the epididymis was found in the abdomen with its proper vascular supply, while the body and tail of the epididymis were located at the tip of the vas deferens, descended into the scrotum. Anastomosis of the two epididymal segments was done and orchiopexy was completed. In light of the guidance available in the related literature, our presented case supports the hypothesis that at least some cases of cryptorchidism are due to attachment of the gubernaculum solely to the epididymis. In the event of similar cases in the future, we emphasize that tissue found at the tip of the vas deferens may not necessarily be an atrophic testis. We suggest, therefore, that an intraabdominal search for the testis be done, and further, that anastomosis instead of excision should be performed in an effort to preserve these reproductive structures.