Coveney E C, Fitzgerald R J
Department of Paediatric Surgery, Children's Hospital, Dublin, Ireland.
J Pediatr Surg. 1994 Mar;29(3):452-3. doi: 10.1016/0022-3468(94)90590-8.
Horizontal lie of the testis has recently been observed in association with varicoceles in a pediatric population. Six children with a varicocele presented to the surgical department during a 6-month period. All had an associated horizontal lie of the testis. In two of these cases, high ligation of internal spermatic veins was performed, after which one reverted to a vertical position with resolution of the varicocele. Seven children who underwent high ligation of a varicocoele over a 5-year period were examined. All were found to have no evidence of the varicocele at follow-up. All but one had a vertical lie. Horizontal lie of the testis in children is a new clinical sign that should alert the examiner to the possibility of an underlying varicocele.
