Inguinal hernia with a persistent mullerian duct syndrome and transverse testicular ectopia : a case report

Abstract EN

We present a case of Transverse testicular ectopia (TTE) of the left testis that presented to our pediatric surgery unit at the Maternity and children Teaching hospital with right inguinal hernia and an impalpable testis in the left scrotum.

During the exploration of the right inguinal region, pulling of the right gonad in the hernia sac caused protrusion of another gonad.

The uterus, fallopian tubes and both testes were unexpectedly found within the hernia sac.

TTE should be suspected preoperatively in patients who have unilateral inguinal hernia associated with a contralateral nonpalpable testis.

If TTE is found, this itself represents an indication to search for PMDS.