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Laparoscopic totally extraperitoneal exploration of intra-abdominal testis, orchidectomy and inguinal hernia repair in an adult patient
  1. Athira Gopinathan,
  2. Balamurugan Ramachandran,
  3. Sivamarieswaran Ramalingam and
  4. Padma Kannan
  1. General Surgery, SRM Medical College Hospital and Research Centre, Kancheepuram, Tamil Nadu, India
  1. Correspondence to Dr Athira Gopinathan; drathirag{at}


The presence of undescended testis predisposes to the development of an inguinal hernia due to the persistent processus vaginalis. This coexistence is not very rare in the paediatric population. Here, we report an adult man who presented with inguinal hernia and an intra-abdominal testis and successfully underwent an extended totally extraperitoneal (e-TEP) approach for extraperitoneal exploration of the testis in the left iliac fossa, and orchidectomy along with inguinal hernia repair. Review of the literature revealed only two case reports in which TEP has been used in the treatment of undescended testis in adults, and in both cases, the testes were intracanalicular. This case, as per our extensive bibliographical research, is the first reported case of an intra-abdominal testis, with descent arrested at the iliac fossa, explored using e-TEP along with inguinal hernia repair. Such minimally invasive procedures may be offered to the patients without the risks of intraperitoneal entry.

  • General surgery
  • Congenital disorders
  • Surgery

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  • Contributors AG contributed to the conceptualisation, drafting and editing of the article. BR contributed to the editing, critical revision and final proofreading of the article. SR contributed to drafting the literature review and editing the article. PK contributed to the procurement and editing of images as well as drafting the article. All authors have agreed to take responsibility for and approved the final version submitted for publishing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.