2023 Volume 59 Issue 2 Pages 208-211
Transverse testicular ectopia (TTE) is a relatively rare disorder in which the unilateral testis is displaced beyond the midline and lodged in the contralateral abdominal cavity, inguinal canal, or scrotum. We report a case of TTE in which a surgical treatment plan was decided on the basis of laparoscopy findings. A 10-month-old boy was diagnosed as having left nonpalpable testis at his one-month-old checkup, and a MRI scan showed one testis in the right scrotum and one in the right inguinal canal. Laparoscopic exploration revealed a widely opened right internal inguinal ring and testes in the right scrotal sac and in the abdominal cavity near the right internal inguinal ring. The spermatic cord of the intraabdominal testis crossed the anterior surface of the bladder from near the left internal inguinal ring. Because a large extent of dissection of the spermatic cord was necessary to descend the left testis from the left internal inguinal ring, the bilateral testes were derived from the right inguinal wound, and the right testis with a longer spermatic cord was fixed in the left scrotum through the scrotal septum. The left testicle was fixed in the right scrotum. Six months after surgery, there was no obvious testicular atrophy or malposition.
