Undescended Testis Presenting as Incarcerated Inguinal Hernia in Adults: A Rare Case and Literature Review

Most cases of undescended testis are asymptomatic and diagnosed in the first years of life. In some rare cases the diagnosis is established during childhood due to sudden torsion of the spermatic cord. Its presence in adults is rare and its precipitance of an acute abdomen or incarcerated inguinal hernia as first clinical manifestation is seldom described in the literature. In this report, we described a case of an elderly male with undescended testis associated with a reactive inflammatory mass incarcerated at the superficial inguinal ring. To the best of our knowledge, this has not been previously described.