Nam Y S, Baik H K, Kim S J, Lee H K, Park H K
Department of General Surgery, Kuri Hospital, College of Medicine, Hanyang University, Seoul, Korea.
J Korean Med Sci. 1998 Jun;13(3):328-30. doi: 10.3346/jkms.1998.13.3.328.
Transverse testicular ectopia, an extremely rare anomaly, is a deviation of testicular descent resulting in unilateral location of both testes, usually associated with an inguinal hernia, with the spermatic cord of the ectopic testes originating from the appropriate side. In most reported cases, the correct diagnosis was not made preoperatively. But we made a diagnosis of transverse testicular ectopia preoperatively by using the ultrasonography in patient with right-side inguinal hernia and left-side cryptorchism. Left testis was found on the right inguinal area and right testis was found in the right scrotum by ultrasonography, so we could make a diagnosis of transverse testicular ectopia. After right inguinal hemiorraphy, both testes were easily brought down sequentially through the right groin into the scrotum. Left testis was placed in the left hemoscrotum through transceptal incision to the scrotal subdartous pouch.
睾丸横过异位是一种极其罕见的异常情况，是睾丸下降过程中的一种偏差，导致双侧睾丸单侧定位，通常与腹股沟疝相关，异位睾丸的精索起源于相应一侧。在大多数报道的病例中，术前未做出正确诊断。但我们通过超声检查，对一名右侧腹股沟疝合并左侧隐睾的患者术前做出了睾丸横过异位的诊断。超声检查发现右侧腹股沟区有左侧睾丸，右侧阴囊内有右侧睾丸，因此我们得以做出睾丸横过异位的诊断。右侧腹股沟疝修补术后，双侧睾丸很容易依次通过右腹股沟降至阴囊。通过经阴囊切口至阴囊肉膜下袋将左侧睾丸置于左侧阴囊内。
