A Rare Anomaly of Testicular Descend: Transverse Testicular Ectopia and Review of the Literature

Tepeler, Abdülkadir; Özkuvancı, Ünsal; Kezer, Cem; Müslümanoğlu, Ahmet Yaser

doi:10.1089/lap.2011.0044

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…Yu et al [13] presented a left side TTE in a 51-year-old man with associated right congenital cryptorchidism who was treated with laparoscopic resection. Similarly, Tepeler et al [14] described a case of TTE but in 15 years old boy in whom left testis was seen in right inguinal region with right inguinoscrotal hernia; Moslemi et al [6] had a similar case report of right side TTE with ipsilateral inguinal hernia. Gkekas et al [2] presented with a case report of left TTE with single fused vas deferens, hypoplastic seminal vesicle with varicocele but without hernia which is different to our case.…”

Section: Discussionmentioning

confidence: 93%

Transverse testicular ectopia with inguinal hernia in an adult—a case report

Pitchumani

Padmanaban

Achantani

et al. 2021

Egypt J Radiol Nucl Med

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Background Transverse testicular ectopia (TTE) is a rare congenital anomaly in which both the testis are in the same hemiscrotum or one testis in the inguinal canal of the same side. It is usually associated with other anomalies such as inguinal hernia, persistent Mullerian duct syndrome (PMDS), true hermaphroditism, and pseudo-hermaphroditism. In this case report, we present a rare case of TTE in an adult patient with fused vas deferens, aplastic right seminal vesicle, and right side inguinal hernia. Case presentation A 33-year-old male came with complaint of severe pain in the scrotum for 2 days with a long-standing history of right inguinoscrotal swelling. Clinical examination revealed a right inguinoscrotal swelling in which right testis was not palpable separately and left testis was palpable at periphery of the left hemiscrotum. Ultrasound imaging and MRI of the scrotum revealed TTE with both testes in the left hemiscrotum, fused vas deferens, right aplastic and left hypoplastic seminal vesicle, right side patent process vaginalis with a non-obstructive, and non-strangulated inguinal hernia. Surgical intervention with transeptal orchidodpexy was advised but not performed due to the patient’s unwillingness. Hence, we recommended an annual follow-up for the same. Conclusion The present case report emphasizes that though TTE is a rare congenital anomaly, it should be considered as a differential diagnosis in patients with an absent testis and/or infertility, and a detailed imaging and biochemical investigation should be employed considering the wide spectrum of associated conditions.

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Section: Discussionmentioning

confidence: 93%

Transverse testicular ectopia with inguinal hernia in an adult—a case report

Pitchumani

Padmanaban

Achantani

et al. 2021

Egypt J Radiol Nucl Med

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“…The mean presentation age at CTE is 4 years [6]. About 100 cases of CTE have been published up to now [2].…”

Section: Discussionmentioning

confidence: 99%

“…The first CTE was reported by Von Lenhossek in 1886 in an autopsy [4] . The mean presentation age at CTE is 4 years [6] . About 100 cases of CTE have been published up to now [2] .…”

Section: Discussionmentioning

confidence: 99%

“…CTE has been classified into three types according to the presence of various anomalies: type 1, CTE is accompanied by inguinal hernia (40-50%); type 2, CTE is associated with persistent or rudimentary Müllerian duct (30%); type 3, CTE is associated with other disorders (20% of cases; hypospadias, pseudohermaphroditism and scrotal abnormalities) [6] . According to this classification, our patient was type 1 CTE.…”

Section: Discussionmentioning

confidence: 99%

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Testicular Fusion in a Patient with Crossed Testicular Ectopia: A Rare Entity

Yanaral

Yıldırım

2012

Urol Int

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Crossed testicular ectopia (CTE) is a well-described, rare congenital abnormality of testicular descent, in which both testes migrate through one inguinal canal. The objective of this work is to present a case of fused two testicles in a hemiscrotum as a rare entity of CTE. We describe a rare case of CTE in a 19-year-old boy presenting to the Department with left testis placed in the right hemiscrotum with right inguinal hernia. Ultrasound and magnetic resonance imaging revealed fused testes with their own vasa deferentia in the left hemiscrotum. Azoospermia was detected in semen analysis. The patient was referred to microTESE and ICSI procedure for his infertility problem. CTE should be kept in mind in patients with an inguinal hernia and contralateral nonpalpable testis.

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Laparoscopy and Transseptal Orchiopexy in the Management of Transverse Testicular Ectopia

et al. 2015

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Transverse testicular ectopia (TTE) is a rare congenital anomaly in which both testes descend through the same inguinal canal. The most frequent clinical presentation is undescended testis (UDT) with ipsilateral inguinal hernia and contralateral non-palpable testis. This condition is often diagnosed during surgery and is frequently associated with other anomalies. There is controversy in the surgical management of TTE. Considerations for TTE repair include avoiding damage to the testes or vas deferens and detection of other congenital anomalies. Frequently, the vas deferens and testicular tissues are joined, and dissection of these structures can cause damage. In this article, we report four patients with TTE, describe the surgical approach made in each case, and provide a review of the literature.

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A Rare Anomaly of Testicular Descend: Transverse Testicular Ectopia and Review of the Literature

Cited by 5 publications

References 11 publications

Transverse testicular ectopia with inguinal hernia in an adult—a case report

Transverse testicular ectopia with inguinal hernia in an adult—a case report

Testicular Fusion in a Patient with Crossed Testicular Ectopia: A Rare Entity

Laparoscopy and Transseptal Orchiopexy in the Management of Transverse Testicular Ectopia

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