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Case Studies | Surgery | India | Volume 14 Issue 3, March 2025 | Popularity: 5.8 / 10
Unveiling the Rare Dual Challenge: Adult Inguinal Hernia with Undescended Testis - A Case Series, Surgical Triumphs, and In- Depth Literature Review
Dr. Rhythm Uppal, Dr. Prashant Hombal, Dr. Abhijit S. Gogate
Abstract: Background: Inguinal hernias are among the most common surgical conditions worldwide, with lifetime risk varying depending on the demographics, occupation, and comorbidities. Cryptorchidism, or undescended testis, is typically diagnosed in pediatric populations but can rarely persist into adulthood, occasionally presenting alongside inguinal hernias. The objective is to discuss the clinical presentation, surgical management, and outcomes of adult patients with inguinal hernias associated with ipsilateral undescended testis. In this series, three adult cases of inguinal hernia with concurrent undescended testis were analyzed. All patients underwent definitive surgical intervention, which included orchidectomy and mesh hernioplasty. Results: The report details the diagnostic challenges and surgical strategies employed in each case, as well as the postoperative outcomes. The key considerations included the risk of malignant transformation in the undescended gonad, the choice between orchiopexy and orchidectomy, mesh - related complications, and the role of comorbidities on perioperative risks. Conclusion: These cases highlight the importance of a multidisciplinary approach and meticulous surgical planning in managing adults with inguinal hernias and concurrent cryptorchidism. The findings underscore the need for awareness of the potential complications and the necessity for tailored surgical strategies to ensure favorable outcomes.
Keywords: Adult Presentation, Cryptorchidism, Hernioplasty, Inguinal hernia, Orchidectomy, Undescended testis
Edition: Volume 14 Issue 3, March 2025
Pages: 1557 - 1562
DOI: https://www.doi.org/10.21275/SR25327214442
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