International Journal of Reproductive BioMedicine

Published date: Sep 21 2025

Journal Title: International Journal of Reproductive BioMedicine

Issue title: International Journal of Reproductive BioMedicine (IJRM): Volume 23, Issue No. 8

Pages: 659 – 664

DOI: 10.18502/ijrm.v23i8.19815

Ahmad Vosough Taghi Dizajvosough@royaninstitute.orgDepartment of Reproductive Imaging, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran

Mohammad Ali Sadighi GilaniDepartment of Andrology, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran

Fattaneh PahlavanDepartment of Reproductive Imaging, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran

Ameneh Saadat VarnosfaderaniDepartment of Reproductive Imaging, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran

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.

Keywords: Crossed ectopic testis, Infertility, Imaging, Treatment

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