Missed testis on laparoscopy despite blind-ending vessels and closed processus vaginalis

Laparoscopy has become a preferred technique to evaluate a nonpalpable testis. It gives excellent visualization of the anatomy to differentiate a viable or absent testis. We present a case of an intra-abdominal testis that was missed on diagnostic laparoscopy. Despite a closed processus vaginalis, an absent vas deferens, and blind-ending vessels above the internal ring, the testis was missed.