A RARE CASE OF A YOUNG MALE WITH A COMPLICATED INGUINAL HERNIA WITH INTESTINAL OBSTRUCTION AND ALSO CONGENITAL UNDESCENDED TESTIS PRESENT AS THE CONTENT OF SAC OF HERNIA.

Abstract

Inguinal hernias are common surgical pathology, particularly in men, but the rate of complications like intestinal obstruction and the presence of an undescended testis within the hernia sac is relatively low. This paper describes a case of a young male with an inguinal hernia with bowel obstruction and an undescended testis in the hernia sac. Bowel obstruction and the undescended testis necessitated emergency surgery to correct the problems. Incarcerated bowel loops were gently mobilized and reduced without having to perform bowel resection, while the healthy testis was then relocated to the scrotum through orchiopexy. Further, the Lichtenstein mesh repair was done to treat the hernia and avoid its reappearance without tension. The postoperative progress was also uneventful, and no complications like sepsis or reemergence of the hernia, together with the following examination and scrotal Doppler ultrasound were normal. This case describes the likely problems that are going to be faced while managing inguinal hernias especially when other comorbidities like bowel obstruction, cryptorchidism, etc are also present. Anyway, any such cases need to be diagnosed early and the patient needs to be operated on to minimize the risks that may be associated with such cases.