Non-Descended Testicle Presenting as an Inguinal Hernia

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Author Info

C. V. van Hessen J. P. J. Burgmans W. D. Rinkel Wouter J Bakker

Corresponding Author

Wouter J Bakker
Department of Surgery/Hernia Clinic, Diakonessenhuis Hospital, Utrecht/Zeist, Netherlands

A B S T R A C T

Background: An inguinal hernia is one of the most common surgical diagnosis worldwide and the most frequent anomaly of the groin area. Cryptorchidism, the failure of the testes to descend into the scrotum, is also a prevalent congenital abnormality, with a reported incidence of 1% to 2% at 12 months of age. However, it is rarely diagnosed in adult men. Case Presentation: We present the case of a 63-year-old male who presented to the Emergency Department with severe left-sided groin pain since a couple of days. A bulge in the left groin was visibly obvious and was painful but reducible. An inguinal hernia was diagnosed, and since the patient had no previous (abdominal) surgery, he was scheduled for a totally extraperitoneal (TEP) endoscopic inguinal hernia repair. Per-operatively, an indirect inguinal hernia was initially seen; however, after further dissection and displacement of the peritoneal fold cranially, it became clear that the alleged hernia was the left testis situated in the preperitoneal space. The testis was surgically brought out through the inguinal canal. A preperitoneal mesh was placed. Conclusion: In case of a painful and reducible inguinal swelling that occurs in a patient with an empty hemiscrotum, surgeons must consider the possibility of an undescended testis.

Article Info

Article Type

Case Report

Publication history

Received: Tue 31, Dec 2019
Accepted: Wed 22, Jan 2020
Published: Thu 30, Jan 2020

Copyright

© 2023 Wouter J Bakker. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.01.10