A Surgical Surprise During Laparoscopic Transabdominal Preperitoneal Repair; Undescended Testis

Undescended testis (cryptorchidism) is a common congenital anomaly in childhood but rarely seen in adults. Inguinal hernia can occasionally coexist with undescended testes, although such a presentation is uncommon in adult patients. We report a rare case of a 28-year-old male with a right inguinal hernia who was found to have an atrophic testis within the hernia sac during lapa-roscopic transabdominal preperitoneal (TAPP) repair. The patient had a history of bilateral orchi-opexy in infancy. Preoperative ultrasonography did not detect the undescended testis. Intraopera-tively, orchiectomy was performed following urology consultation, and the TAPP procedure was completed successfully. The postoperative course was uneventful, and pathology revealed an atrophic testis without malignancy. This case highlights the importance of preoperative suspicion and the benefits of the laparoscopic approach in managing such coexisting pathologies in adults.