Coexistence of Gastroschisis, Scrotoschisis and Transverse Testicular Ectopia

Extrusion of the testis through the scrotal wall is called scrotoschisis. Coexistence of scrotoschisis and transverse testicular ectopia is extremely rare. When the above anomalies are associated with gastroschisis, the condition becomes life threatening. This is a report of a neonate presenting with gastroschisis, scrotoschisis and transverse testicular ectopia. The child was in obvious respiratory distress with central cyanosis and fever. The baby was immediately commenced on oxygen, dextrose containing intravenous fluid and other resuscitative measures. There was a defect located on the anteromedial aspect of the right hemi-scrotum, well circumscribed and oval in shape, measuring about 2 cm x 3 cm in diameter. Both testes extruded through the defect. The bowels were cleaned with warm normal saline and an improvised silo was applied. Due to the unstable condition of the child, the testes with their spermatic cords were also cleaned and covered with saline soaked gauze. The plan was to perform a bilateral orchidopexy when the baby was stable. The baby’s condition remained unstable and he died on the second day of admission. A better outcome would have been achieved if the patient had presented earlier to our facility.