Re the lost testis: failure of physical examination and diagnostic laparoscopy to identify inguinal undescended testis, P.I. Ellsworth and L. Chenck, Vol 5 (4) 321-323.
I read with interest the paper by Ellsworth and Cheuck, Vol. 5 (4) 321e323, describing the lost testis. The authors describe the fact that the testis was located in the groin of an obese boy after being impalpable clinically, and showing blind-ending vessels laparoscopically. However, a review of the photographs that the authors present shows a normal left-sided closed internal ring with vas and vessels in Fig. 2. In Fig.1, although the testicular vessels are blind-ending, one is clearly able to see the vas with an enlarged collateral supply, with the arteries to the vas enlarged significantly more than normal, consistent with the fact that they are clearly not supplying just the vas itself but must be supplying a viable testis beyond the internal ring.