CASE REPORT article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1514662
A case report of laparoscopic orchopsis for transverse testicular ectopia via the Hesselbach route
Provisionally accepted
- Zhongshan People's Hospital (ZSPH), Zhongshan, China
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Background: Testicular transverse ectopia (TTE) is a rare congenital abnormality in which both testicles descend into the same half of the scrotum via a solitary inguinal canal(1). This condition is frequently linked with inguinal hernias and various urogenital irregularities, and it may manifest as an unoccupied opposite scrotum or as a discernible lump in the groin or scrotal area. Patient presentation: A nine-month-old boy was diagnosed with a right inguinal hernia, which presented as a 3 cm * 3 cm palpable mass without pain upon examination. During surgery, both testicles were discovered to be undescended, fused by their ligaments, and had independent vas deferens, vascular supplies, and epididymides. The poorly developed testicles were fixed in the scrotum via Hei's triangle Postoperative follow-up revealed normal testicular positioning, with no retraction, atrophy, or hernia recurrence. Conclusions: Orchiopexy via Hei's triangle is a new surgical option for patients with type I TTE who have insufficient length spermatic cord blood vessels.
Keywords: Transverse testicular ectopia, laparoscopic orchopsis, Orchiopexy, Hesselbach route, Hei's Triangle
Received: 21 Oct 2024; Accepted: 01 May 2025.
Copyright: © 2025 Zhuo Fan, Xu dong and Bo xiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Zhao Xu dong, Zhongshan People's Hospital (ZSPH), Zhongshan, China
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