A rare case of crossed-ectopic testis, a primary infertile affected: A case report.

BACKGROUND

Crossed ectopic testis is one of the rare congenital anomalies of testicular migration that is observed in < 0.67% of men.

CASE PRESENTATION: In this study, we reported a rare case of a 36-yr-old infertile man with a normal karyotype who was referred to the Royan Institute, Tehran, Iran. He suffered infertility for 8 yr and underwent inguinal hernia surgery. By ultrasound study, the left testis, vas deferens, and spermatic cord were detected. In ultrasound, the right testis was not seen in the right scrotum. The right ectopic testis was observed in the superior part of the left scrotum and the inferior part of the left inguinal canal. The possibility of a right testis was investigated by ultrasound. It was small in size with a normal shape and non-hemogenic parenchymal echogenicity. To confirm the above finding, magnetic resonance imaging was suggested for him. The left testis had a normal size in the imaging assessment. Azoospermia was confirmed by semen analysis. Testicular sperm extraction was performed on the left scrotum. Sperm concentration was 0-1 ml in a high-power field. He had 0-1% normal morphology.

CONCLUSION

Crossed ectopic testis and coexisting complications should be managed properly. Imaging methods can be used to diagnose this anomaly, as they are useful in suspected cases.