Asian Journal of Research in Surgery

Cross testicular ectopia is an exceptionally rare congenital urogenital anomaly where both gonads migrate towards the same hemiscrotum. This condition is typically accompanied by other abnormalities like persistent Mullerian duct syndrome, inguinal hernia, true hermaphroditism, hypospadias, and scrotal anomalies. While most reported cases involve children, there have been a few instances in adults. The incidence of cross testicular ectopia is extremely low, occurring in 1 in 4 million male children. In cross testicular ectopia, both testes migrate to the same hemiscrotum and descend through a single inguinal canal, often associated with inguinal hernia and an empty contralateral hemiscrotum. One or both testes may be ectopic in the abdomen, inguinal region, or descend to the hemiscrotum with the contralateral hemiscrotum remaining empty.

 We present two cases of cross testicular ectopia in a 9-year-old and a 5-year-old boy, both presenting with right inguinal hernia and a non-palpable left testis. Ultrasound examination revealed both testes located in the right scrotum, with the hernia sac in the right inguinal area. A trans-septal orchidopexy was performed along with hernioplasty to address these cases. Top of Form