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Transverse testicular ectopia with inguinal hernia - A rare case report
Shubhi Bhatnagar1, Shahaji Chavan1, Mahendra Bendre1
1Department of Surgery, Dr. D.Y. Patil Medical College, Sant Tukaram Nagar, Pimpri, Pune, Maharashtra 411018, India.
International Journal of Surgery Case Reports
|October 15, 2017
Summary
Transverse aberrant testicular maldescent, a rare condition where a testicle migrates to the opposite inguinal canal, was observed in an adult male. Surgical exploration revealed both testes on one side, necessitating orchidectomy for an atrophic ectopic testis.
Area of Science:
- Urology
- Pediatric Surgery
- Andrology
Background:
- Transverse aberrant testicular maldescent is an extremely rare congenital anomaly.
- Characterized by testicular migration to the contralateral inguinal canal, it is predominantly reported in children and exceptionally rare in adults.
Purpose of the Study:
- To present a rare case of transverse aberrant testicular maldescent in an adult.
- To highlight diagnostic and management considerations for this anomaly.
Main Methods:
- Case report of a 24-year-old male with left indirect inguinal hernia and right testicular absence.
- Surgical exploration revealed bilateral testes on the left side.
- Management included left meshplasty and left orchidectomy for an atrophic ectopic testis.
Main Results:
- The patient presented with a reducible indirect inguinal hernia and unilateral testicular absence.
- Surgical findings confirmed both testes located on the left side.
- An atrophic ectopic testis required orchidectomy.
Conclusions:
- This anomaly can be associated with inguinal hernia and other genitourinary abnormalities.
- Early diagnosis and management are crucial due to the risk of malignant transformation.
- Long-term follow-up is recommended after orchiopexy or other surgical interventions.
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