Crossed Testicular Ectopia: Atypical Testicular Migration - A Report of Two Cases

Abstract

Background: Crossed testicular ectopia (CTE) or transverse testicular ectopia (TTE) is a rare urogenital anomaly where both testes are located on one side due to a deviation in testicular descent. It is typically associated with an inguinal hernia. The diagnosis is often made during surgical exploration. Case Presentation: Two boys with left CTE presented with right inguinal hernias and  left impalpable testes. An ultrasound scan revealed both testes on the right side. During surgery, the left testis was found in the right inguinal region and was moved to the left scrotum using a trans-septal window. Both patients had uneventful recoveries. Conclusion: Clinical examination, and USG are useful for diagnosis. Surgical management involves inguinal exploration, orchiopexy (trans-septal and extra-peritoneal), taking care not to injure testicular blood supply. Trans-septal orchidopexy and follow-up is considered the ideal management.