Gauderer M W, Grisoni E R, Stellato T A, Ponsky J L, Izant R J
J Pediatr Surg. 1982 Feb;17(1):43-7. doi: 10.1016/s0022-3468(82)80323-0.
In transverse or crossed testicular ectopia, the affected gonad lies in the same canal as the normally descended testis. During a 5-yr span, three children with this form of ectopia were seen. All presented with a symptomatic right inguinal hernia and an empty scrotum on the left side. The ages at operation were 1, 3, and 5 mo. Only the first patient was reoperated. In this child, the diagnosis of transverse testicular ectopia was made during the herniorrhaphy and the ectopic, but otherwise normal, gonad returned to the abdominal cavity. A subsequent left orchidopexy through a celiotomy was done. In the last two patients, the correct diagnosis was made preoperatively. Both gonads were of equal size and normal, occupying the same hemiscrotum. A herniorrhaphy with fixation of the ectopic gonad to the opposite hemiscrotum was done in both. All three children are otherwise normal. Cases collected from the literature are discussed. The condition should be suspected if a unilateral hernia is associated with a contralateral, nonpalpable testis and may not be as rare as formerly thought.
在横位或交叉性睾丸异位中，患侧性腺与正常下降的睾丸位于同一管道内。在5年的时间里，我们诊治了3例这种类型的异位患儿。所有患儿均表现为有症状的右侧腹股沟疝和左侧阴囊空虚。手术时年龄分别为1个月、3个月和5个月。仅第一例患者进行了再次手术。在该患儿中，横位睾丸异位在疝修补术中被诊断出来，异位但其他方面正常的性腺被回纳至腹腔。随后通过剖腹术进行了左侧睾丸固定术。后两例患者在术前做出了正确诊断。两个性腺大小相等且正常，占据同一侧阴囊。两例均进行了疝修补术并将异位性腺固定于对侧阴囊。这3名患儿其他方面均正常。文中对从文献中收集的病例进行了讨论。如果单侧疝伴有对侧无法触及的睾丸，应怀疑此病，其实际发病率可能不像以前认为的那么低。
