Transverse testicular ectopia presenting with hydrocele: A rare case report

Area of Science:

• Urology
• Pediatric Surgery
• Reproductive Medicine

Background:

• Transverse testicular ectopia (TTE) is a rare congenital anomaly where both testes descend into a single inguinal canal and hemiscrotum.
• While typically diagnosed in childhood, adult TTE cases are infrequently reported, offering valuable insights into surgical management.

Observation:

• A 40-year-old male presented with scrotal swelling and discomfort, diagnosed as a hydrocele.
• During surgery, both testes were found in the right hemiscrotum, a presentation of TTE.
• The patient underwent hydrocelectomy and trans-septal orchidopexy with an uneventful recovery.

Findings:

• TTE is uncommon and often associated with cryptorchidism, hydroceles, and inguinal hernias.
• Adult TTE cases, though rare, necessitate consideration in patients with scrotal or inguinal abnormalities.

Implications:

• Surgical intervention for TTE is crucial in adults to mitigate risks of testicular torsion, infertility, and malignancy.
• Timely correction preserves fertility and prevents long-term complications, even in individuals with prior offspring.