Unilateral transverse testicular ectopia with recurrence of inguinal hernia: a case report

Abstract Background Crossed testicular ectopia or transverse testicular ectopia is an extremely rare urogenital anomaly. In this condition, on average at 4 years of age the testes migrate through the inguinal canal and one or both testes may turn up in the abdomen, inguinal region, or in the hemiscr...

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Main Authors: Mahsa Gholizadeh, Ali Mohammad Fakhre yasseri
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-023-03782-8
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author Mahsa Gholizadeh
Ali Mohammad Fakhre yasseri
author_facet Mahsa Gholizadeh
Ali Mohammad Fakhre yasseri
author_sort Mahsa Gholizadeh
collection DOAJ
description Abstract Background Crossed testicular ectopia or transverse testicular ectopia is an extremely rare urogenital anomaly. In this condition, on average at 4 years of age the testes migrate through the inguinal canal and one or both testes may turn up in the abdomen, inguinal region, or in the hemiscrotum, with an empty contralateral hemiscrotum. Our case report documents transverse testicular ectopia in a 5-year-old boy who presented with right inguinal hernia and nonpalpable left testis. He underwent previous right herniorrhaphy at the age of 1 year. Case presentation A 5-year-old Iranian boy was diagnosed with a right inguinal hernia. He underwent right inguinal herniorrhaphy at the age of 1 year. For this case report, the hernia symptoms had returned. Both testicles were palpated in the right scrotum, an ultrasound examination also revealed both testicles to be present in the right scrotum, and a hernia sac located in the right inguinal region with an internal ring. The patient was recommended to undergo a surgical reconstruction. Surgical reconstruction was performed by crossing the left testis in the transseptal orchiopexy technique. Conclusion In patients with cryptorchidism on one side and an inguinal hernia on the other side, the surgeon must consider a rare condition known as transverse testicular ectopia. Sonography can be helpful for diagnosing cases where transverse testicular ectopia is suspected, evaluating other anomalies, and selecting the most appropriate treatment.
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spelling doaj.art-14b7efcee9804a21a19d04fd463ad33e2023-03-22T11:19:31ZengBMCJournal of Medical Case Reports1752-19472023-02-011711410.1186/s13256-023-03782-8Unilateral transverse testicular ectopia with recurrence of inguinal hernia: a case reportMahsa Gholizadeh0Ali Mohammad Fakhre yasseri1Alumna of Medicine, Tehran University of Medical SciencesShariati Hospital, Alborz University of Medical SciencesAbstract Background Crossed testicular ectopia or transverse testicular ectopia is an extremely rare urogenital anomaly. In this condition, on average at 4 years of age the testes migrate through the inguinal canal and one or both testes may turn up in the abdomen, inguinal region, or in the hemiscrotum, with an empty contralateral hemiscrotum. Our case report documents transverse testicular ectopia in a 5-year-old boy who presented with right inguinal hernia and nonpalpable left testis. He underwent previous right herniorrhaphy at the age of 1 year. Case presentation A 5-year-old Iranian boy was diagnosed with a right inguinal hernia. He underwent right inguinal herniorrhaphy at the age of 1 year. For this case report, the hernia symptoms had returned. Both testicles were palpated in the right scrotum, an ultrasound examination also revealed both testicles to be present in the right scrotum, and a hernia sac located in the right inguinal region with an internal ring. The patient was recommended to undergo a surgical reconstruction. Surgical reconstruction was performed by crossing the left testis in the transseptal orchiopexy technique. Conclusion In patients with cryptorchidism on one side and an inguinal hernia on the other side, the surgeon must consider a rare condition known as transverse testicular ectopia. Sonography can be helpful for diagnosing cases where transverse testicular ectopia is suspected, evaluating other anomalies, and selecting the most appropriate treatment.https://doi.org/10.1186/s13256-023-03782-8TestisUndescended testisTransverse testicular ectopiaSurgical techniqueCase report
spellingShingle Mahsa Gholizadeh
Ali Mohammad Fakhre yasseri
Unilateral transverse testicular ectopia with recurrence of inguinal hernia: a case report
Journal of Medical Case Reports
Testis
Undescended testis
Transverse testicular ectopia
Surgical technique
Case report
title Unilateral transverse testicular ectopia with recurrence of inguinal hernia: a case report
title_full Unilateral transverse testicular ectopia with recurrence of inguinal hernia: a case report
title_fullStr Unilateral transverse testicular ectopia with recurrence of inguinal hernia: a case report
title_full_unstemmed Unilateral transverse testicular ectopia with recurrence of inguinal hernia: a case report
title_short Unilateral transverse testicular ectopia with recurrence of inguinal hernia: a case report
title_sort unilateral transverse testicular ectopia with recurrence of inguinal hernia a case report
topic Testis
Undescended testis
Transverse testicular ectopia
Surgical technique
Case report
url https://doi.org/10.1186/s13256-023-03782-8
work_keys_str_mv AT mahsagholizadeh unilateraltransversetesticularectopiawithrecurrenceofinguinalherniaacasereport
AT alimohammadfakhreyasseri unilateraltransversetesticularectopiawithrecurrenceofinguinalherniaacasereport