A Rare Case of Transverse Testicular Ectopia Associated with Incarcerated Inguinal Hernia

MEDICINE Research project

Ectopic testis is defined as the aberrant location of testis in places other than the scrotum during descent from the inguinal canal after the external ring. Aberrant locations include the suprapubic site, medial of the thigh, perineum, anterior abdominal wall and contralateral scrotum. An interesting and rare form of ectopic testis is transverse testicular ectopia (TTE) or in other words, crossed testicular ectopiain which both testes migrate toward the same hemiscrotum through the same inguinal canal. This anomaly is rarely associated with incarcerated inguinal hemia. About 100 cases of transverse testicular ectopia have been reported in published studies. This is a case of an 11-month old male who presented with a 4-day history of an irreducible inguinal hernia. The clinical and operative findings and treatment options are discussed. It is thought that surgeons who frequently repair inguinal hernias should be aware of the appropriate surgical management options available to them when this condition is unexpectedly identified during inguinal exploration.