No abstract

Cryptorchidism is characterized by the extra-scrotal position of the testis. Although inguinal hernia is frequent, cryptorchid testis at the age of 60 years is an uncommon entity. We wish to present this extremely rare case of inguinal hernia, which is the first one that we have encountered in our practice, along with the accompanying prognosis and therapeutic issues and a review of the literature.Keywords: Cryptorchidism; Extra-scrotal position; Inguinal hernias extremely rare case of inguinal hernia, which is the first one that we have encountered in our practice, along with the accompanying prognosis and therapeutic issues and a review of the literature. Case ReportWe report the case of a 60 years old adult male patient who was admitted due to left inguinal hernia. His medical history was not found to be relevant. Patient was referred with an inguinal hernia with recurrent severe colicky pain on appearance of hernia. When the patient used to cough, the hernia used to appear. Physical examination revealed left inguinal hernia. The scrotum showed absence of left testis in the pre-operative period (Figure 1). The diagnosis was left inguinal hernia with absent left testis. The rest of the examination was unremarkable. He had no known history of testicular disease. The patient did not have a problem of infertility. Surgical exploration revealed the presence of cryptorchid testicle in inguinal hernia. The left testis with its overlying tunica vaginalis was found at the deep inguinal ring. A viable normal sized testis was found in the hernial sac with its blood vessels and vas deferens. The testicle was viable. Left testicle was resected for the fear of malignancy. The hernia sac was, also, resected (Figure 2-5). Surgical correction was made and the hernia was repaired using a synthetic mesh (Lichtenstein Hernioplasty) (Figure 6,7). Histopathological examination confirmed a normal testis and the presence of leydig cells and the seminiferous tubule without testicular germ cell tumor (TGCT). The patient tolerated the procedure well and the post-operative period was uneventful.