An obstructed inguinal hernia with maldescended testis as content in an adult male: A case report

Abstract

A long-standing direct inguinal hernia may manifest as an acute or subacute intestinal obstruction. An obstructed direct inguinal hernia with testis as content is extremely uncommon, and up to date, no such case has been reported. Direct inguinal hernias are much less common than indirect ones in terms of incarceration and even strangulation. Obstructed direct inguinal hernias requiring surgery are very rare. Such hernias are exceedingly challenging to diagnose clinically and are diagnosed intraoperatively. According to the literature, individuals with direct inguinal hernias on the left side are more likely to develop such sequelae. Herein, we report the case of a 26-year-old male who presented with an obstructed inguinal hernia of the left side with the testis as content, taking into consideration the rarity and possible consequences of such hernias.

Keywords

• direct inguinal hernias
• hernia sac
• maldescended testis
• obstructed inguinal hernia