TRANSVERSE TESTICULAR ECTOPIA

Abstract

Crossed testicular ectopia (CTE) is a rare congenital anomaly14. It is also knownas transverse testicular ectopia (TTE). In this condition both testis descend/migrate towardsthe same hemi-scrotum. About 100 cases have been reported so far. It may be associatedwith other congenital anomalies which include persistent Mullerian Duct Syndrome, truehermaphroditism, pseudo-hermaphroditism, inguinal hernia, hypospadias and scrotalanomalies. We are reporting one such case in 6 years old boy who presented to CMH Malir inMarch 2014 with left inguinal hernia and per-operatively found to have right testis in left inguinalcanal. Left testis had descended into left upper scrotum. Vasa were tethered together in upperportion by fibrous tissue. Right testis and vas was separated, mobilized extra-peritonially anddone in right scrotum (ipsilateral). Left orchiopexy was done in left scrotum. Hernia repair wasthen preformed. Post-op u/s scan was done to detect any other associated pathology whichwas negative. In most of the published reports diagnosis was made per-operatively as was thecase in this patient.