Abstract
Background: Cryptorchidism is a disease almost seen among premature male neonate. It should be underwent surgical fixation to scrotal sac if spontaneous testicular descending was not occurred during the first year of the life. Intra-abdominal undescended testis is a rare condition which makes the testicle susceptible to malignant degeneration. Acute appendicitis has varied presentation according to variety of appendix location. Manifestation of undescended intra-abdominal testis associated with seminoma degeneration as an acute appendicitis is an extremely rare clinical presentation.
Highlights
Primary cryptorchidism is an unusual condition with prevalence of 3% among newborn term boys, it is seen in 30% of premature male infants [1]
From all undescended testes (UDT) most of them are palpable in inguinal canal or just prior to scrotal space, still up to 20% of UDTs are non-palpable and among the latter about 50-60% are located in abdominal cavity [2]
It was the second case in the literature with Intra-abdominal neglected right UDT presenting itself with acute appendicitis
Summary
Primary cryptorchidism is an unusual condition with prevalence of 3% among newborn term boys, it is seen in 30% of premature male infants [1]. Acute appendicitis is the most common surgical disease involves 8% of all people through their life. Prior surgical history was positive for right sided orchiectomy following unilateral right UDT in addition to left sided varicocelectomy Abdominal examination was in lined with the diagnosis of acute appendicitis; means the presence of right iliac fossa point tenderness, rebounding pain, and positive rovsing sign. He was otherwise normal in physical examination. According to patient’s history and clinical findings he was prepared for emergent appendectomy with no extra imaging study requirement for diagnosis of acute appendicitis. He was referred to an oncologist and underwent adjuvant chemotherapy
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