Transverse testicular ectopia (TTE) is a rare congenital anomaly, in which both gonads migrate toward the same hemiscrotum with increased risk of testicular malignancy and associated with various abnormalities. Proper knowledge and imaging techniques are essential in diagnosis. Ultrasonography(USG) offer an easy, safe, and convenient alternative in assessment of TTE. We report a case of 41-year-male with infertility, who presented with left reducible inguinal hernia and right undescended testis. Final diagnosis was confirmed by USG and magnetic resonance imaging(MRI). The embryology, imaging features and USG evaluation of infertility are discussed with review of pertinent literature.
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