World J Mens Health.  2013 Dec;31(3):265-267.

An Unusual Presentation of Crossed Testicular Ectopia as an Incarcerated Inguinal Hernia

Affiliations
  • 1Department of Pediatric Surgery, Dankook University Medical College, Cheonan, Korea.
  • 2Department of Urology, Dankook University Medical College, Cheonan, Korea. multiorigins@yahoo.com

Abstract

Crossed testicular ectopia (CTE) is generally defined as both testes located in the same hemiscrotum and contralateral hydrocele with the absence of a testis. However, the initial presentation of CTE in an infant as an incarcerated inguinal hernia is extremely rare. We report on a 10-month-old infant with CTE, who visited the emergency room presenting with a left incarcerated inguinal hernia. After manual reduction for an incarcerated hernia and left inguinal herniorraphy, the left testis was fixed into the left hemiscrotum and right transseptal orchiopexy was performed.

Keyword

Crossed ectopia; Hernia, inguinal; Testis

MeSH Terms

Emergencies
Hernia
Hernia, Inguinal*
Humans
Infant
Orchiopexy
Testis

Figure

  • Fig. 1 (A) Scrotal sonography reveals the dilated bowel loop and mesenteric fat (M) in the left hemiscrotum. (B) Two testes in the left hemiscrotum. (C) Both testes are attached to one gubernaculum (**). A ligated suture (*) for the inguinal hernial sac and normally developed penis (***) are visible. T: testis, LT: left testis, RT: tight testis.


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