Purpose or Case Report: The development and migration of reproductive organs is a complex process that is often poorly understood. Abnormally located testes and ovaries may reflect an incidental transient finding or underlying/pending pathology. Cryptorchidism is the most common genitourinary anomaly in males with associated increased risk of infertility and malignancy. Ectopic testes (outside the normal line of descent) have been reported within the perineum, penis, and femoral canal, representing a rare- but important entity to recognize and diagnose. Abnormally positioned ovaries- either in the midline pelvis or within the canal of Nuck- may mimic tumors or reflect underlying vascular compromise of the tissue.

This educational exhibit will present a case-based review of the normal migration and anatomic position of gonadal tissue, as well as common and uncommon aberrant locations. In addition, this exhibit will highlight imaging strategies, including appropriate modalities and techniques. A brief discussion of current concepts in management will also be provided.
Methods & Materials:
Results:
Conclusions: It is imperative that pediatric radiologists have a comprehensive understanding of the normal migration, appearance, and location of reproductive organs. A detailed knowledge of potential aberrant locations and their associated sequela is also essential to ensure appropriate imaging, clinical management and improved patient outcomes.