Brrrtsh Journal of Urology (1978), 50, 283
Transverse Testicular Ectopia Case Report A boy of 3 years was admitted with a gradually
increasing, painless swelling in the right inguinoscrotal region for 2 years, and absence of the left testis since birth. On examination there was a reducible inguinoscrota1 swelling with positive cough impulse and negative transillumination test; 2 testicles with 2 separate cords were felt in the right side of the scrotum. The left side of the scrotum was empty and underdeveloped. N o other testis could be felt in the left inguinal canal or on abdominal examination. At operation, a complete hernial sac was opened and 2 normal-looking testes were found lying side by side in the fundus of the hernial sac. Each testis had its own epididymis and spermatic cord, which were joined by a mesentery (Fig.). The hernial sac was separated from
the cord and ligated at the external inguinal ring. Exploration of the left inguinal and retroperitoneal area revealed no evidence of undescended testis. IVP done post-operatively showed n o renal abnormality.
Comment Only 29 cases of transverse testicular ectopia have been reported in the world literature (Sastry et al., 1974) of which 6 were on the right side. A familial incidence has been reported (Stauber, 1965). Although some authors have discussed the possible mechanism of this testicular anomaly, no definite cause has been defined (Gupta and Das, 1960). References B. A. (1974). Transverse testicular ectopia. International Surgery, 59,
Sastry, S. C., Venkateswarlu, K. and Hussain,
373-374. Cupta. R. L. and Das,
P. (1960). Ectopia testis transversa. Journal of the Indian Medical Association, 35, 547. Stauber, R. (1965). Farnilitires Vorkommen von Dystopia testis transversa. Zentralblatt fur Chirurgie, 90, 621-625.
H. L. Khamesra, A. S. Gupta and N. K. Malpani, Department of Surgery, R.N.T. Medical College, Udaipur (Rajasthan), India.