本文详细报道了一例罕见的59岁社会性别为"女性"的患者，因双侧腹股沟疝就诊行腹腔镜经腹腹膜前疝修补术，术中发现双侧腹股沟肿物，术后病理证实为隐睾，且经检查发现患者先天无子宫及附件。该患者具有正常发育的女性乳房（E罩杯）及成年女性外阴特征。通过全面阐述该病例的临床特征、诊疗经过、各项检查结果以及深入的讨论分析，为临床医师在面对复杂的性别发育异常及疝相关疾病时提供极具价值的参考，助力提升对这类罕见疾病的认识与诊疗水平。

This paper provides a detailed analysis of a case of bilateral inguinal hernia combined with cryptorchidism. The patient is 59 years old, with a social gender of "female," and was admitted for bilateral inguinal hernia treatment, undergoing laparoscopic trans-abdominal preperitoneal hernia repair. During the surgery, bilateral inguinal masses were identified, and postoperative pathology confirmed cryptorchidism. Further examination revealed a congenital absence of the uterus and adnexa. The patient exhibited well-developed female breasts (E-cup) and adult female vulvar characteristics. By comprehensively elaborating the clinical features, diagnostic and treatment process, various examination results, and in-depth discussion of this case, this study provides valuable reference for clinicians when dealing with complex disorders of sex development and hernia-related conditions, thereby enhancing the understanding and management of such rare diseases.