A curious case of toddler with hernia and much more


  • Abhirup H. Ramu Deparment of General Surgery, KVG Medical College and Hospital, Sullia, Dakshina Kannada, Karnataka, India
  • Priyanka Kenchetty Department of Dermatology, KVG Medical College and Hospital, Sullia, Dakshina Kannada, Karnataka, India
  • Aishwarya K. Chidananda Department of Radio-Diagnosis, KVG Medical College and Hospital, Sullia, Dakshina Kannada, Karnataka, India




Transverse testicular ectopia, Undescended testis, Amyand’s hernia


Transverse testicular ectopia (TTE) with fused vas deferens is an extremely rare clinical entity. Herein, we presented a case of a 2 years old patient with left inguino-scrotal swelling associated with pain lasting for 3 days. Clinical examination revealed an empty right hemi-scrotum, a left-sided giant inguino-scrotal swelling. Laboratory tests were normal. Ultrasound imaging (US) of the scrotum demonstrated the presence of both testes in the same left hemi-scrotum with inguinal hernia and enterocele as content. Surgical intervention in suspicion of obstruction was carried out through inguinal incision. There was a congenital inguinal hernia with appendix (type 1-Amyand’s hernia) and cecum as content with two well developed testes on the same side with separate epididymis and vas deferens. Both the testes were united by a mesorchium. Hence, reduction of contents with herniotomy and both the testes were anchored to inner aspect of left thigh one above the other. We reviewed the literature for rare diagnosis of TTE.

Author Biography

Abhirup H. Ramu, Deparment of General Surgery, KVG Medical College and Hospital, Sullia, Dakshina Kannada, Karnataka, India

Department of general surgery , post graduate


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