The second type is crossed testicular ectopia, which is characterized by herniation of the testes, the entire uterus and both the fallopian tubes.
In our case, the PMDS was of the crossed testicular ectopia, with bilateral cryptorchid testis located in a position analogous to the ovaries, with a rudimentary uterus in the center and bilateral fallopian tubes and mullerian remnants.
1] Crossed testicular ectopia is an extremely rare form of testicular ectopia but well recognized entity in which both gonads migrate towards the same hemiscrotum.
First description of crossed testicular ectopia was made by Lenhossek in 1886.
Frey also noted that defective ipsilateral gubernacular development might predispose to crossed testicular ectopia.
Kimura stated that true crossed testicular ectopia is only if there are two distinct deferent ducts, a common duct suggesting the development of the testis from one genital ridge.
Crossed testicular ectopia is classified in three clinical types according to the presence of additional abnormalities.
The diagnosis of crossed testicular ectopia should be followed by more tests to exclude other genitourinary anomalies.
Transverse testicular ectopia also known as crossed testicular ectopia, testicular pseudoduplication, paradoxical or transverse aberrant testicular maldescent (2).
Crossed testicular ectopia with bilateral duplication of the vasa deferentia: an unusual finding in cryptorchism.