A Case of Adult Inguinal Hernia with Left Transverse Testicular Ectopia

Abstract

A 66-year-old man underwent robot-assisted laparoscopic radical prostatectomy for prostate cancer, at which time left transverse testicular ectopia was observed. This time, it was introduced for the purpose of radical surgery for right inguinal hernia. A hand-fist-sized swelling was observed from the right inguinal region to the scrotum, but it could be easily returned. Abdominal CT showed two testes in the right scrotum. Intraoperative findings revealed a huge hernia sac and two bundles of vas deferens, testicular arteries, and veins in the spermatic cord. The hernia was repaired using a mesh after sufficient exfoliation. The postoperative course was uneventful and the patient was discharged on the second postoperative day. We report an extremely rare case of inguinal hernia associated with transverse testicular ectopia in an adult.