Strangulated Inguinal Hernia Containing an Undescended Testis in An Adult: A Case Report and Literature Review

Background: The coexistence of a strangulated inguinal hernia and an undescended testis in adults is exceedingly rare. Persistence of the processus vaginalis is a key embryological factor implicated in indirect inguinal hernias. When a testis is included within the hernia sac, management becomes more complex, involving both hernia repair and evaluation of testicular viability.Case Presentation: We report the case of a 28-year-old male presenting with an irreducible painful inguinoscrotal mass. Emergency surgical exploration revealed an indirect inguinal hernia with a patent processus vaginalis containing a congested but viable small-bowel loop and an ectopic testis. The patient underwent Bassini hernia repair and orchidopexy with uneventful recovery.Conclusion: Strangulated inguinal hernia with testicular involvement is an exceptional presentation in adults. Prompt surgical intervention is essential to prevent bowel or testicular ischemia. Orchidopexy is recommended when the testis is viable; orchidectomy may be required otherwise.