Torsion of an indirect hernia sac within a hydrocele causing acute scrotum: case report and review of the literature

Inguinal hernia with acute appendicitis known as Amyand’s hernia is uncommon. It may clinically manifest as acute scrotum, inguinal lymphadenitis, or strangulated hernia. The presentation of Amyand’s hernia with acute scrotum has been rarely described. Also, the manifestation of infarcted omentum in the inguinal hernia has been described in one case previously. However, the coexistence of perforated appendix with infarcted omentum in the hernia sac which manifests acute scrotum has not been described previously. Herein, we described a case of a 5-year-old boy, admitted with right tense, painful, and erythematous scrotum in the emergency room. The diagnosis of herniated appendicitis was performed preoperatively by ultrasound. Moreover, the ischemic omentum was confirmed during surgery.

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Torsion of an indirect hernia sac causing acute scrotum

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2003.09.024 ◽

2004 ◽

Vol 39 (1) ◽

pp. 122-123 ◽

Cited By ~ 13

Author(s):

Jeremy B Myers ◽

Mark A Lovell ◽

Robert S Lee ◽

Peter D Furness ◽

Martin Koyle

Keyword(s):

Acute Scrotum ◽

Indirect Hernia ◽

Hernia Sac

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Torsion of a seminoma in an intrascrotal testis: a case report and review of the literature

Canadian Urological Association Journal ◽

10.5489/cuaj.248 ◽

2013 ◽

Vol 7 (1-2) ◽

pp. 108 ◽

Cited By ~ 2

Author(s):

Tatsuo Gondo ◽

Kazunori Namiki ◽

Ayako Tanaka ◽

Kunihiko Yoshioka ◽

Michio Tanaka ◽

...

Keyword(s):

Case Report ◽

Magnetic Resonance ◽

Testicular Torsion ◽

Doppler Sonography ◽

Acute Scrotum ◽

Review Of The Literature ◽

Colour Doppler Sonography ◽

Colour Doppler ◽

Testicular Seminoma ◽

Testicular Tumours

An intrascrotal testicular torsion with malignant testicular tumouris extremely rare. We report a case of a 26-year-old male who was diagnosed with testicular torsion by magnetic resonance imagingand with testicular seminoma after orchiectomy. Through this case, we found that if the possibility of testicular torsion remains during the diagnosis of acute scrotum cases, additional examination adding to colour Doppler sonography should be performed. Furthermore, we should be aware of the possibility of testicular tumours during the diagnosis and treatment of acute scrotums. If the affected testis is preserved in the treatment of testicular torsion, a postoperative examination by ultrasound and/or tumour markers for the remaining testis is essential to confirm the absence of testicular tumour.

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Torsion of huge epididymal cyst in a 16-year-old boy: case report and review of the literature

La Pediatria Medica e Chirurgica ◽

10.4081/pmc.2018.162 ◽

2018 ◽

Cited By ~ 1

Author(s):

Cosimo Bleve ◽

Maria Luisa Conighi ◽

Valeria Bucci ◽

Lorenzo Costa ◽

Salvatore Fabio Chiarenza

Keyword(s):

Case Report ◽

Acute Scrotum ◽

Review Of The Literature ◽

Testicular Mass ◽

History Of ◽

Scrotal Swelling ◽

Scrotal Trauma

Epididymal cysts (ECs) are relatively common in adults, rare in children. Normally their treatment is conservative. They may be situated anywhere in the organ, frequently in the region of the head. Torsion of these cysts is extremely rare in both children and adults, causing acute scrotal swelling. The diagnosis is intraoperative. A 16-year-old boy was referred to our Divisional Clinic by the treating physician for scrotal swelling appeared 4 months earlier. Absence of a history of minor scrotal trauma. Ultrasonography showed a 40×50 mm fluid-filled right para-testicular mass. We performed surgery finding a large black cyst connected to the head of the epididymis with 720°-degrees rotation. Histology revealed an acquired EC. The particularity of our case is due to the absence of symptoms in association with a big EC twisted of 720° degrees. This is the only case reported in literature. All patients with EC torsion reported presented symptoms related to acute scrotum.

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Aberrant adrenocortical tissue in hernia sac occurring in an adult: case report and review of the literature

Hernia ◽

10.1007/s10029-009-0501-6 ◽

2009 ◽

Vol 13 (6) ◽

pp. 659-662 ◽

Cited By ~ 6

Author(s):

D. El Demellawy ◽

A. Nasr ◽

A. Samkari ◽

P. Pastolero ◽

S. Alowami

Keyword(s):

Case Report ◽

Review Of The Literature ◽

Adult Case ◽

Hernia Sac

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A rare cause of acute scrotum in a child: torsion of an epididymal cyst. Case report and review of the literature

La Pediatria Medica e Chirurgica ◽

10.4081/pmc.2019.210 ◽

2019 ◽

Vol 41 (1) ◽

Cited By ~ 1

Author(s):

Mario Messina ◽

Giulia Fusi ◽

Francesco Ferrara ◽

Edoardo Bindi ◽

Chiara Pellegrino ◽

...

Keyword(s):

Case Report ◽

Clinical History ◽

Physical Exam ◽

Acute Scrotum ◽

Review Of The Literature

Torsion of an epididymal cyst is an extremely rare cause of acute scrotum in children and in young boys. Its reported incidence is 5-20%. The treatment is usually conservative. Many cases (up to 60%) regress spontaneously, especially if below 3 cm. Few cases have been reported in Literature (7 cases/2018). We add our patient as eighth case. He was a 13-year-old boy who was admitted for acute scrotum. Ultrasound excluded torsion of the testis and he was managed for 5 day conservatively. Based on clinical history and physical exam, we decided to perform a prompt surgery that revealed a torsion of epididymal cyst that was confirmed by histological exam.

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