TRANSVERSE TESTICULAR ECTOPIA

Abstract

Crossed testicular ectopia (CTE) is a rare congenital anomaly14. 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.