Case history
Case history
A 4-month-old boy is noted on routine medical evaluation to have the left testis palpable in the scrotal sac, but the right scrotal sac is empty. The right testis is palpable in the upper portion of the scrotum, but cannot be pulled down into the scrotum.
Other presentations
Acquired cryptorchidism may occur in patients with previously documented normal testicular position. These patients are later noted to have testes that have ascended into the high portion of the scrotum or the inguinal canal. The incidence and etiology of this phenomenon are unclear, but it is a small subset of the cryptorchid population.[2] Boys with testicles that descended in the first months of life may be at highest risk. Retractile testes are located in a suprascrotal position but can be pulled down without pain into the scrotum and remain there after traction is released. This is considered a normal variant in position due to the cremasteric reflex, and these patients generally do not undergo treatment but should be followed for acquired cryptorchidism.
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