Transverse testicular ectopia with splenogonadal fusion: A case report

Abstract

Both transverse testicular ectopia (TTE) and splenogonadal fusion (SGF) are rare congenital abnormalities. We report a case with both TTE and SGF, simultaneously. As far as we know, this is the first reported case. In order to identify a case of TTE or SGF, it is necessary to consider that the testes and ectopic spleens have similar patterns on ultrasonograph and magnetic resonance imaging.

Transverse testicular ectopia

“…The spermatic vessels of the ectopic testis crossing the midline and passing through the inguinal canal is associated with indirect inguinal hernia. The first case was reported in the literature in 1886 by Lenhossek . One of the largest series was reported by Naouar et al ., who saw three children with TTE in their institute in a 5 year span .…”

“…The first condition is known as undescended testis, and the second as testicular ectopia. TTE is a rare anomaly in which both gonads migrate toward the same hemiscrotum, usually associated with an inguinal hernia …”

“…The first condition is known as undescended testis, and the second as testicular ectopia. Transverse testicular ectopia (TTE), which is also called crossed testicular ectopia, is an extremely rare anomaly in which both testes migrate toward the same hemiscrotum, and is usually associated with an inguinal hernia . During TTE, the spermatic vessels of the ectopic testis cross the midline and pass through the inguinal canal adjacent to the spermatic cord of the normal opposite testis.…”

“…TTE is mostly seen on the right side. Fewer than 150 documented cases of TTE have been reported in the literature, and published studies in large series of patients with TTE are not available in the English‐language literature . The aim of this study was to report on six patients with TTE.…”

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“…In our case, the availability of frozen section in first operation saved the child from orchiectomy, but frozen section may not be available at all times. 3,4,11,12 Splenogonadal fusion is a benign condition. Surgery is not required if clinical signs are absent, especially in the scrotum.…”