A case report: the undescended testis present with inguinal hernia in adolescence, how can be diagnosed and treated early?


  • I. Gusti Agung Brama Wijaya Department of General Surgery, Prima Medika Hospital, Denpasar, Bali, Indonesia
  • A. A. Ngr. Jaya Kesuma Department of General Surgery, Prima Medika Hospital, Denpasar, Bali, Indonesia




Undescended testis, Cryptorchidism, Pathological alterations


Undescended testis or cryptorchidism describe as one or more testicles are missing from the scrotum. Cryptorchidism may occur on one or both sides but more commonly affects the right testicle. To make the diagnosis, testicular examination followed by a laparoscopy to check for testes that hard to feel on physical examination. To avoid pathological alterations, surgical treatment for UDT should be administered prior to two years. A 16-year-old male patient come to the surgical department of Prima Medika Hospital complained of a lump in the right thigh fold and a non-palpable right testicle for 2 weeks and was unaware of the existence of his right testicles.  On the abdominal examination, a non-reducible tumor was discovered during examination in the right groin with no lymphadenopathy in the left inguinal and left testicles. The testicular ultrasonography present, the right inguinal-proximal testis is undescended. Based on the patients complain, orcidopexy dextra with herniotomy was performed. In underdeveloped nations, UTD is common in adulthood, and the late identification of UDT might be problematic. Therefore, early diagnosis and immediate treatment are essential to prevent the complication and pathologic alterations that leading to subfertility and malignant transformation.


MDS Manuals. Cryptorchidism (Undescended Testes). 2022. Available at: https://www.msdmanuals.com/professional/pediatrics/congenital-renal-and-genitourinary-anomalies/cryptorchidism. Accessed on 15 May, 2023.

Bradshaw CJ, Corbet-Burcher G, Hitchcock R. Age at orchidopexy in the UK: has new evidence changed practice? J Pediatr Urol. 2014;10(4):758-62.

Sinha CK, Vinay S, Kulkarni R. Delayed diagnosis for undescended testes. J Ind Pediatr. 2008;45(6):503.

National Library of Medicine. Cryptorchidism, 2022. Available at: https://www.ncbi.nlm.nih.gov/books/NBK470270/. Accessed on 15 May, 2023.

Braga LH, Lorenzo AJ. Cryptorchidism: A practical review for all community healthcare providers. Can Urol Assoc J. 2017;11(1-2):S26-32.

Kassir R, Tarantinob E, Lacheze R, Brek A, Di Bartolomeo A, Tiffet O. Management of Spigelian hernia caused by necrobiotic fibroma of theuterus in a pregnant woman. Int J Surg Case Rep. 2013;4:1176-8.

Adesanya OA, Ademuyiwa AO, Elebute OA, Ojewola R, Bode CO. The undescended testes in children: A prospective epidemiological study. East and Central Afr J Surg. 2013;18(2):45-9.

Shiryazdi SM, Modir A, Benrazavi S, Moosavi N, Kermani-Alghoraishi M, Ghahramani R. Causes of delay in proper treatment of patients with undescended testis. Iran J Reprod Med. 2011;9(1):37-40.

Gates RL, Shelton J, Diefenbach KA, Arnold M, Peter SD, Renaud EJ et al. Management of the undescended testis in children: An American pediatric surgical association outcome and evidence based practice committee systematic review. J Pediatric Surg. 2022;57(7):1293-308.






Case Reports