PMC10034806_01
(a) Indirect inguinal hernia containing omentum. (b) Undescended testis, rudimentary uterus and tubes. (c) Bilateral undescended testis, rudimentary uterus with both Fallopian tubes and bilateral indirect inguinal hernia. (d) Biopsy of the right testis. (e) Biopsy of the left testis
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Peroperatively, there was omentum in the indirect inguinal hernia sacs and bilateral intraabdominal testis [Figure 1a and b]. There was also a rudimentary uterus with tubes on either side [Figure 1c]. Omentum was reduced from the hernial sac, and bilateral testicular biopsy was taken from both the poles to confirm the presence of testicular tissue and to exclude malignancy and ovarian tissue [Figure 1d and e].
(a and b) Laparoscopic mobilisation of testis and cord structure. (c) Retrieval of mobilised testis and cord structures by incision on distal scrotal sac. (d) Orchidopexy. (e and f) Bilateral TAPP mesh repair. TAPP: Transabdominal pre-peritoneal
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TAPP mesh repair [Figure 2e and f].