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Transverse testicular ectopia (TTE) / crossed testicular ectopia (CTE) is a quite rare congenital anomaly, resulting from abnormally deviated descent of testis, leading to the presence of both testicles in a single scrotal compartment. It can coincide with other congenital anomalies, such as :( 1) persistent mullerian duct system, (2) true and pseudohermaphroditism, (3) hypospadius, (4) inguinal hernia, and (5) scrotal wall abnormalities. Around 150 cases have been reported in literature we report a case of a 29 year old male patient, with unknown previous medical illnesses, presented to the urology outpatient clinic complaining of painless left testicular mass, he underwent left inguinal exploration for radical orchidectomyand was found to have double unilateral spermatic cords and testicles.

     

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