Divya SİNGH, Ladbans KAUR, Neha KHANDUJA

Incarcerated Inguinal Hernia: A Cause of Testicular Ischemia Without the ‘Twist’

Anahtar Kelimeler:

-

Incarcerated Inguinal Hernia: A Cause of Testicular Ischemia Without the ‘Twist’

Introduction: Acute scrotal pain is a common complaint encountered in the emergency room. Besides testicular torsion, incarcerated inguinal hernia is another important cause that requires urgent exclusion as it warrants emergency surgery.Case Report: Here we present a case of acute painful scrotal swelling in a young man owing to an incarcerated inguinal hernia that caused testicular ischemia. Ultrasound evaluation revealed the presence of bowel and omentum in the scrotum and normal echotexture of the testis. However, color Doppler revealed the absence of testicular blood flow. The patient underwent emergency surgery. The bowel and testis were salvaged by reducing the hernia.Conclusion: This case report illustrates the occurrence of testicular ischemia owing to compressed vascular supply by an incarcerated inguinal hernia. It also shows that testicular ischemia can occur in the absence of a twisted spermatic cord, thereby underscoring the requirement for evaluating the testis in the setting of an incarcerated inguinal hernia

Keywords:

Incarcerated inguinal hernia, ultrasound, testis ischemia,

PDF

___

Dogra V, Bhatt S. Acute painful scrotum. Radiol Clin North Am 2004; 42: 349-63. [CrossRef]
Wright S, Hoffmann B. Emergency ultrasound of acute scrotal pain. Eur J Emerg Med 2015; 22: 2-9. [CrossRef]
Orth RC, Towbin AJ. Acute testicular ischemia caused by incarcerated inguinal hernia. Pediatr Radiol 2012; 42: 196-200. [CrossRef]
McGurk MN. Testicular infarction with incarcerated inguinal hernia in infants. N Z Med J 1978; 88: 14.
Alyami F, Whelan T. Incarcerated inguinal hernia in infancy associated with testicular infarction: Case report and review of the literature. Can Urol Assoc J 2013; 7: E367-9. [CrossRef]
Desai Y, Tollefson B, Mills L, Galli R. Testicle ischemia resulting from an inguinal hernia. J Emerg Med 2012; 43: e299-301. [CrossRef]
Eutermoser M1, Nordenholz K. Testicular Compromise due to Inguinal Hernia. West J Emerg Med 2012; 13: 131-2. [CrossRef]
Hill MR, Pollock WF, Sprong DH. Testicular Infarction and Incarcerated Inguinal Herniae. Arch Surg 1962; 85: 351-4. [CrossRef] 81