Abstract
1. Symptoms referable to compression of the spermatic cord and incarceration of right testicle, obscure the underlying pathologic changes occurring in the vermiform appendix.
2. Testicular underdevelopment and resulting subnormal cerebration.
3. Operative technique:
(a) Pre-operative diagnosis: Incarceration of right testicle and possible perforative appendicitis.
(b) Descent of right incarcerated testicle. Bassini closure.
(c) Exploratory laparotomy: Intramuscular gridiron incision.
4. Operative findings:
(a) Strangulation and incarceration of undescended right testicle and spermatic cord in inguinal canal.
(b) Copious pus, free in peritoneal cavity. An adherent, sloughing, perforative, retrocecal appendix identified, left undisturbed and free drainage established.
5. Progress:
(a) Eventful recovery from acute suppurative appendicitis following drainage of appendical focus.
(b) Marked development following the operative descent of an incarcerated testicle in a backward boy, age twelve, who had a bilateral cryptorchism.
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