English

Abstract

Crossed testicular ectopia (CTE) is a rare congenital anomaly 14 . It is also known as transverse testicular ectopia (TTE). In this condition both testis descend/migrate towards the same hemi-scrotum. About 100 cases have been reported so far. It may be associated with other congenital anomalies which include persistent Mullerian Duct Syndrome, true hermaphroditism, pseudo-hermaphroditism, inguinal hernia, hypospadias and scrotal anomalies. We are reporting one such case in 6 years old boy who presented to CMH Malir in March 2014 with left inguinal hernia and per-operatively found to have right testis in left inguinal canal. Left testis had descended into left upper scrotum. Vasa were tethered together in upper portion by fibrous tissue. Right testis and vas was separated, mobilized extra-peritonially and done in right scrotum (ipsilateral). Left orchiopexy was done in left scrotum. Hernia repair was then preformed. Post-op u/s scan was done to detect any other associated pathology which was negative. In most of the published reports diagnosis was made per-operatively as was the case in this patient.