Transverse Testicular Ectopia in a Context of Persistence of the Peritoneo-vaginal Duct: A Case Report

True testicular ectopic represent 1% of testicular migration abnormalities. Transverse or crossed form is a very rare form of testicular ectopia. It is defined as an abnormal localization of both testicles in the same hemi-scrotum. Association of a persistence of vaginal process or a syndrome of persistence of the Müllerian canal is more commonand deserves to be underlined. The diagnosis is often intraoperative but can be facilitated by an ultrasound performed preoperatively. Before any case of testicular ectopy, notably an empty scrotum associated with an inguinal hernia, transverse testicular ectopy should be suspected. Orchiopexy in-dartos on both sides after a trans septal lowering of the testicle concerned is the rule. Currently with the development of laparoscopy, management can be performed by open surgery but also depending on the availability of the technical platform and the experience of the surgeon, laparoscopic treatment is possible. Transverse testicular ectopy is a rare form of testicular ectopy. the principle of the treatment consists in the lowering of the testicle in intra scrotum and the orchidopexy. Long-term follow-up of testicules should be systematic because risks of infertility and malignant degeneration exist and are multiplied respectively by six and eight compared to the rest of the population. We report a case, diagnosed in a secondary health center, and review the literature.