Abstract
Undescended testis (cryptorchidism) is a common congenital anomaly in childhood but rarely seen in adults. Inguinal hernia can occasionally coexist with undescended testes, although such a presentation is uncommon in adult patients. We report a rare case of a 28-year-old male with a right inguinal hernia who was found to have an atrophic testis within the hernia sac during lapa-roscopic transabdominal preperitoneal (TAPP) repair. The patient had a history of bilateral orchi-opexy in infancy. Preoperative ultrasonography did not detect the undescended testis. Intraopera-tively, orchiectomy was performed following urology consultation, and the TAPP procedure was completed successfully. The postoperative course was uneventful, and pathology revealed an atrophic testis without malignancy. This case highlights the importance of preoperative suspicion and the benefits of the laparoscopic approach in managing such coexisting pathologies in adults.
References
- 1. Florou M, Tsilidis KK, Siomou E, Koletsa T, Syrnioti A, Spyridakis I, et al. Orchidopexy for congenital cryptorchidism in child-hood and adolescence and testicular cancer in adults: an up-dated systematic review and meta-analysis of observational studies. Eur J Pediatr 2023;182:2499–507.
- 2. Vijjan VK, Malik VK, Agarwal PN. The role of laparoscopy in the localization and management of adult impalpable testes. JSLS 2004;8:43–6.
- 3. Ungureanu C, Stanculea F, Ginghina O, Cristian DA, Grigorean VT, Popescu R et al. Laparoscopic approach of inguinal hernia associated with adult cryptorchidism: case series and litera-ture review. J Surg Case Rep. 2024 Apr 8;2024(4):rjae232.
- 4. Fujishima H, Sasaki A, Takeuchi Y, Morimoto A, Inomata M. Laparoscopic treatment for inguinal hernia combined with cryptorchidism: totally extraperitoneal repair with orchiecto-my under the same operative view. Int J Surg Case Rep 2015;17:79–81.
- 5. Wood HM, Elder JS. Cryptorchidism and testicular cancer: separating fact from fiction. J Urol 2009;181:452–61.
- 6. Anwar AZM, Fathelbab TK, Abdelhamid AM, Galal EM, Ali MM, Tawfiek ER. Initial laparoscopy and optimized approach for uni-lateral nonpalpable testis: review of 8-year single-center ex-perience. Int Urol Nephrol 2018;50:2139–44.
- 7. Sepulveda L, Gorgala T, Lage J, Monteiro A, Rodrigues F. Un-descended testis presenting as incarcerated inguinal hernia in adults: a rare case and literature review. Curr Urol 2014;7:214–6.
- 8. Doudakmanis C, Kolla C, Bouliaris K, Efthimiou M, Koukoulis GD. Laparoscopic bilateral inguinal hernia repair: Should it be the preferred technique? World J Methodol. 2022 Jul 20;12(4):193-199.
Abstract
Kriptorşidizm, skrotumda testislerin olmaması olarak tanımlanır. Bu durum erkek çocuklarda yaygın olsa da yetişkin hastalarda nadirdir. Kriptorşidizm ve kasık fıtığı arasındaki ilişki çocukluk çağında sıklıkla görülür ancak yetişkinlerde veya yaşlılarda nadirdir (1,2). Bu çalışmada, hem kriptorşidizm hem de kasık fıtığı teşhisi konulan yetişkin bir erkek hasta laparoskopik cerrahi teknikleri kullanılarak başarıyla tedavi edildi (3). Hasta laparoskopik transabdominal preperitone-al onarım ve orşiektomi prosedürlerine tabi tutuldu. Ameliyat sonrası herhangi bir komplikasyon gelişmedi ve hasta ameliyattan sonraki ikinci gün taburcu edildi. Patolojik incelemede malig-nitesi olmayan atrofik bir testis ortaya çıktı. Takip sırasında herni tekrarı görülmedi. Yetişkin hastalarda kasık fıtığı ve kriptorşidizmin kombine patolojisinde laparoskopik yaklaşım uygu-lanabilir bir seçenek sunar ve tanı ve tedavide çeşitli avantajlar sağlar.
Amacımız inguinal herniye eşlik eden kriptorşidizm olgularında minimal invaziv yaklaşımın avantajını ve postoperatif sonuçları vurgulamaktır
References
- 1. Florou M, Tsilidis KK, Siomou E, Koletsa T, Syrnioti A, Spyridakis I, et al. Orchidopexy for congenital cryptorchidism in child-hood and adolescence and testicular cancer in adults: an up-dated systematic review and meta-analysis of observational studies. Eur J Pediatr 2023;182:2499–507.
- 2. Vijjan VK, Malik VK, Agarwal PN. The role of laparoscopy in the localization and management of adult impalpable testes. JSLS 2004;8:43–6.
- 3. Ungureanu C, Stanculea F, Ginghina O, Cristian DA, Grigorean VT, Popescu R et al. Laparoscopic approach of inguinal hernia associated with adult cryptorchidism: case series and litera-ture review. J Surg Case Rep. 2024 Apr 8;2024(4):rjae232.
- 4. Fujishima H, Sasaki A, Takeuchi Y, Morimoto A, Inomata M. Laparoscopic treatment for inguinal hernia combined with cryptorchidism: totally extraperitoneal repair with orchiecto-my under the same operative view. Int J Surg Case Rep 2015;17:79–81.
- 5. Wood HM, Elder JS. Cryptorchidism and testicular cancer: separating fact from fiction. J Urol 2009;181:452–61.
- 6. Anwar AZM, Fathelbab TK, Abdelhamid AM, Galal EM, Ali MM, Tawfiek ER. Initial laparoscopy and optimized approach for uni-lateral nonpalpable testis: review of 8-year single-center ex-perience. Int Urol Nephrol 2018;50:2139–44.
- 7. Sepulveda L, Gorgala T, Lage J, Monteiro A, Rodrigues F. Un-descended testis presenting as incarcerated inguinal hernia in adults: a rare case and literature review. Curr Urol 2014;7:214–6.
- 8. Doudakmanis C, Kolla C, Bouliaris K, Efthimiou M, Koukoulis GD. Laparoscopic bilateral inguinal hernia repair: Should it be the preferred technique? World J Methodol. 2022 Jul 20;12(4):193-199.
Details
| Primary Language | English |
|---|---|
| Subjects | General Surgery |
| Journal Section | Case Report |
| Authors | |
| Early Pub Date | June 26, 2025 |
| Publication Date | June 27, 2025 |
| Submission Date | February 10, 2025 |
| Acceptance Date | June 12, 2025 |
| Published in Issue | Year 2025 Volume: 22 Issue: 2 |
