Crossed testicular ectopia: A rare presentation with concomitant obstructed inguinal hernia—A case report

Crossed testicular ectopia (CTE) is a rare congenital anomaly with less than 150 reported cases in literature. It is characterized by the descent of both testes through one inguinal canal and poses diagnostic challenges. Preoperative identification remains infrequent as it is typically diagnosed intraoperatively during herniotomy or evaluation of undescended testes. CTE often manifests in children around 4 years old and has multifactorial etiology. Long-term follow-up is also necessary due to potential malignancy and infertility risks. Herein, we present a case of a 14-month-old male who had a groin exploration for a right obstructed inguinoscrotal hernia. Intraoperative findings included the presence of two vas deferens and both testes confined to the right hemiscrotum. Increased awareness of CTE is imperative for preoperative diagnosis and tailored management, emphasizing the importance of individualized treatment strategies, and vigilant follow-up protocols.