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This case report discusses an 18-year-old male with an inguinal dermoid cyst associated with an undescended testis, highlighting its rarity and diagnostic challenges due to overlapping symptoms with more common conditions. The patient underwent successful surgical excision of the cyst and orchidopexy, with no recurrence noted at a 4-month follow-up. The report emphasizes the importance of considering dermoid cysts in differential diagnoses of inguinal swellings, particularly in patients with cryptorchidism.

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