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Transverse testicular ectopia in adults: A case series
Divish Devendrakumar Saxena1, Murtaza Akhtar2, Mrinal Tandon3
1MS, FMAS, FIAGES, Assistant Professor, Department of Surgery, NKP Salve Institute of Medical Sciences, Digdoh Hills, Nagpur, India.
2MS, FMAS, Professor & Head, Department of Surgery, NKP Salve Institute of Medical Sciences, Digdoh Hills, Nagpur, India.
3MS, Senior Resident, Department of Surgery, NKP Salve Institute of Medical Sciences, Digdoh Hills, Nagpur, India.

doi:10.5348/ijcri-201507-CS-10058

Address correspondence to:
Dr. Divish Devendrakumar Saxena
Assistant Professor, Department of Surgery
NKP Salve Institute of Medical Sciences
Digdoh Hills, Nagpur, Pin No: 440019
India
Phone: +91-9923686675

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How to cite this article
Saxena DD, Akhtar M, Tandon M. Transverse testicular ectopia in adults: A case series. Int J Case Rep Images 2015;6(8):465–468.


Abstract
Introduction: Transverse testicular ectopia (TTE) or transverse aberrant testicular maldescent is a rare clinical entity where both testes descend into one side of scrotum. The patients having TTE often present with ipsilateral inguinal hernia associated with migrated ectopic testis and contralateral empty hemiscrotum and non- palpable testis.
Case Series: We are reporting two cases of a rare testicular descent anomaly where both patients presented with unilateral inguinal hernia with contralateral non-palpable testis and were diagnosed as transverse testicular ectopia intraoperatively. On examination, two separate cords were found to be coming out from same inguinal canal. There were no cord anomalies or remnant of Mullerian duct. In both of the cases inguinal hernia repair with orchiopexy was done.
Conclusion: In a patient with unilateral inguinal hernia and contralateral absent testis, a strong suspicion of TTE should be kept and ultrasonography or MRI scan should be carried out in such patients for the location of testis. However the treatment is hernia repair with an attempt to place the testicles in their respective hemiscrotum.

Keywords: Crossed Ectopia, Transverse testicular ectopia, Undescended testis, Urogenital anomalies


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Author Contributions:
Divish Devendrakumar Saxena – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Murtaza Akhtar – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mrinal Tandon – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Divish Devendrakumar Saxena et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.