Transverse testicular ectopia: A surgical surprise

Abstract

Crossed Testicular Ectopia / Transverse Testicular Ectopia is a rare but well known congenital anomaly in which both gonads migrate towards same Hemiscrotum. Most of the cases were found associated with other abnormality such as Persistent Mullerian Duct Syndrome, Inguinal hernia, Hermaphroditism and other scrotal abnormality. Most of the cases reported in literature are children with very few reports in adults. About 100 cases of Transverse Testicular Ectopia were reported in literature till now. We report a case of Transverse Testicular Ectopia in a 42 year old gentleman presented with partially reducible Left Inguinal Hernia with non-palpable Right Testis. On exploration, one testis with rudimentary Uterus and bilateral rudimentary Fallopian tubes were present in Left Inguinal Canal while another testis in Left Hemiscrotum. Castration with left hernioplasty done as the patients is adult.