Korean J Urol.  2009 Jun;50(6):615-618. 10.4111/kju.2009.50.6.615.

Bilateral Cryptorchidism in Silver-Russell Syndrome: Initial Experience with Laparoscopic Orchiopexy

• Lee JG
• Lee SH
• Jeon SH
• Kim JI
• Yoo KH

• KMID: 1989797
• DOI: http://doi.org/10.4111/kju.2009.50.6.615

Abstract

Silver-Russel syndrome (SRS) is a disorder present at birth that involves poor growth, low birth weight, differences in the size of the two sides of the body, and genital anomalies. The diagnosis is based on distinct prenatal growth restriction and the presence of typical dysmorphic features, including short stature and limb asymmetry. We report a case of bilateral cryptorchidism with no other genital anomalies in SRS. This report provides an overview of the genital anomalies of SRS and describes, for the first time, a laparoscopic orchiopexy in SRS.

Keyword

Cryptorchidism; Dwarfism; Fetal growth retardation; Laparoscopy

MeSH Terms

Cryptorchidism
Dwarfism
Extremities
Fetal Growth Retardation
Humans
Infant, Low Birth Weight
Infant, Newborn
Laparoscopy
Male
Orchiopexy
Parturition

Figure

• 

  Fig. 1 (A) Phenotypically, the child has low-set prominent ears, a triangular-shaped face, and scaphocephaly. (B) The external genitalia of the child included an empty scrotum (black arrow) without hypospadias and a micropenis.

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  Fig. 2 Scrotal ultrasonography showed bilateral testes in the lower abdomen; the testis sizes were 12×6×5 mm and 11×5×5 mm on the right and left, respectively.

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  Fig. 3 Laparoscopic approach showing both intra-abdominal testes proximal to the internal inguinal ring. The straight arrow is the testis and the dotted arrow is the internal inguinal ring.

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