ABSTRACT 

Perineal ectopic testis is an uncommon anomaly of testicular descent that may be overlooked when examination is limited to the inguinal canal. We describe a four-year-old boy with an empty left hemiscrotum and a mobile superficial perineal mass. Ultrasonography identified testicular tissue at the ectopic site. A combined inguinal and scrotal surgical approach demonstrated a normally formed testis, epididymis, and vas deferens, an unusually long spermatic cord, and an aberrant gubernacular attachment to the perineum. No patent processus vaginalis was identified. After division of the ectopic gubernacular attachment, the testis was transferred and fixed in the left scrotum. At approximately one year, both testes were clinically scrotal and symmetric. This case highlights the diagnostic value of perineal palpation and the importance of identifying the gubernacular attachment during orchidopexy.

KEYWORDS

Perineal ectopic testis; Testicular ectopia; Gubernaculum; Orchidopexy; Pediatric surgery.
 

REFERENCES

1) Jlidi S, Echaieb A, Ghorbel S, Khemakhem R, Ben Khalifa S, Chaouachi B. L’ectopie testiculaire périnéale: à propos de quatre observations pédiatriques. Prog Urol. 2004;14(4):532–533. PMID: 15776905.
2) Jensen S, Chen CJ. Ectopic perineal testicle: Case report and review of literature. Urol Case Rep. 2022;45:102274. doi:10.1016/j.eucr.2022.102274.
3) Nounla J, Tröbs RB, Rolle U. Perineal ectopic testis: a rare cause of empty scrotum. Urol Int. 2001;67(3):246–248. doi:10.1159/000050997.
4) Joda AE. Five different cases of ectopic testes in children: a self-experience with literature review. World J Pediatr Surg. 2019;2:e000068. doi:10.1136/wjps-2019-000068.

Cite this article

Bougueddach, F. Z., Abouelkheir, A., Boussouab, I., Fawzi, F. I., Ferram, N., & Hammoumi, Z. (2026). Perineal Ectopic Testis in a Four-Year-Old Boy: Surgical Anatomy and Orchidopexy — A Case Report. INTERNATIONAL JOURNAL OF HEALTH & MEDICAL RESEARCH, 5(11), 1185-1187. https://doi.org/10.58806/ijhmr.2026.v5i11n08