Undescended Testis With Inguinal Hernia

Treatment for the undescended testicle depends on the location of the testis.

Undescended testis with inguinal hernia. Ultrasonography is not helpful to differentiate between incarcerated inguinal hernia and torsion of undescended testis. Failure of obliteration of the processus vaginalis at the level of the internal ring a patent processus vaginalis is observed in congenital inguinal hernia and hydrocoele closure occurs earlier on the left than the right and this may be related to the higher incidence of right sided hydrocoeles hernias and undescended testis. Several rare entities can mimic incarcerated inguinal hernia in men with an undescended testis such as torsion of the spermatic cord transverse testicular ectopia omental incarceration of an intra abdominal testicle or malignancy of the undescended testis 5 9 10 11 12 13 14. The rest of the examination was unremarkable.

In a small minority of cases missing testes may be found in the abdomen or appear to be nonexistent truly hidden. As mentioned earlier a hernia forms as a path for the testis to follow. Rather urgent referral and surgical exploration are required. Normally the inguinal canal allows the passage of the testes from the abdomen to the scrotum and then closes up nearly completely.

The left testis with its overlying tunica vaginalis was found at the deep inguinal ring. In 90 of cases an undescended testis can be felt in the inguinal canal. A case of undescended testis can weaken and widen the inguinal canal allowing a hernia to develop in the lower abdomen. An inguinal hernia bulge lies in the line of the inguinal ligament between the anterior iliac spine and pubis.

A atrophic testis was found in the hernial sac with its blood vessels and vas. Surgical exploration revealed the presence of cryptorchid testicle in inguinal hernia fig. The diagnosis was inguinal hernia. The undescended testis is a homogeneously hypoechoic ovoid structure similar to the contralateral testis with an echogenic mediastinum testis the ectopic testis may be high up in the scrotum or within the inguinal canal 39.

The inguinal orchiopexy is a well established operation for the palpable undescended testicle 28 postoperative management of the condition is fairly. If the testis does not descend completely the hernia does not close and carries the same risks as any other hernia in the groin or inguinal hernia. Our review of the literature has failed to reveal any previous. Undescended testes are associated with reduced fertility increased risk of testicular germ cell tumors and.

Undescended testis and an ipsilateral inguinal mass with groin swelling must be suspected as torsion of undescended testis. Surgery for the undescended testis.