Crossed testicular ectopia

Abstract

Crossed testicular ectopia (CTE) is a rare anomaly, characterized by migration of one testis towards the opposite inguinal canal. Presented here is a case of crossed ectopia of the right testis, treated by extraperitoneal transposition of the gonad and right orchiopexy. Embriology and surgical findings suggest that CTE is a common consequence of many unclear ethiologic factors, specially mechanical ones, and can be associated with Muller duct persistence. Review of literature suggests a classification of CTE into 3 types: I--associated with inguinal hernia alone; II--associated with persistent mullerian remnants; III--associated with other anomalies without mullerian remnants. Treatment includes transeptal orchiopexy or extraperitoneal transposition of the testis, research for mullerian remnants and other anomalies, and long term postoperative follow-up, due to the risk of becoming malignant.

Crossed ectopic testis: a case report and review of the literature

“…Three types of the crossed ectopic testis have been described [12,13]. In type I, the crossed ectopic testis is associated with a hernia.…”

Transverse Testicular Ectopia, A Case Report And Review of Literature

“…Laparoscopy is useful for both diagnosis and treatment of TTE and associated anomalies [18]. Management for testicular ectopia is either trans-septal or extra-peritoneal transposition orchiopexy [19], [20], a search for Mullerian remnants and other anomalies, and long-term postoperative follow-up. There were two options for left orchiopexy in our case: extra-peritoneal orchiopexy and trans-septal orchiopexy.…”

Transverse Testicular Ectopia: A Rare Anomaly

“…Laparoscopy is useful for both diagnosis and treatment of TTE and associated anomalies [14]. Management for testicular ectopia is either transseptal or extra-peritoneal transposition orchiopexy [15,16], a search for mullerian remnants or other anomalies, and a longterm postoperative follow-up. In the extra-peritoneal technique the testis is brought to the contra-lateral hemiscrotum crossing the root of penis.…”