Gastroschisis and extraabdominal ectopic testis: simultaneous repair.

During a 10-year span, three males with gastroschisis were seen in whom one of the testes exited through the paraumbilical opening with the exteriorized intestine. In each case, prior to correction of the abdominal wall defect, the testes (left side in 2, right side in 1) were placed into the ipsilateral scrotum and anchored. In the first child, the undescended gonad, very small at birth, continued hypoplastic at 1 year. The second patient (8 years) required a second stage orchidopexy at age 2 years. The third child, a 1.3-kg premature infant, has good testicular size and position at 6 1/2 years. Undoubtedly because of the magnitude of the main pathology, recommendations on how to handle the gonad in this association are not available. This report focuses on the simplicity of concomitant repair. A similar approach was employed in two children with omphalocele and undescended testes.