scholarly journals Functional testicular torsion secondary to an incarcerated inguinal hernia in a 4-month old: complete recovery at 18-hours

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Gregory M Taylor ◽  
Christian C Strachan
Keyword(s):  
Inguinal Hernia ◽  
Testicular Torsion ◽  
Pediatric Patients ◽  
Complete Recovery ◽  
Cord Compression ◽  
Acute Scrotum ◽  
Indirect Inguinal Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Scrotal Swelling ◽  
Urological Emergencies

Abstract One of the most common urological emergencies encountered in pediatric patients in the emergency department (ED) is the acute scrotum. We present the case of a 4-month-old male that presented to our community ED with scrotal swelling and vomiting of 16-hours duration. He was diagnosed with a functional testicular torsion from an incarcerated inguinal hernia, transferred to a hospital with pediatric urological capabilities and was taken to the operating room ~2 hours later. His hospital course was unremarkable, and he was discharged on day 3, having made a full recovery without any loss of bowel or testicle. There have only been a handful of cases in the literature of a pediatric patient presenting with a functional testicular torsion as a result of spermatic cord compression from an indirect inguinal hernia, with no reported cases of complete salvage at nearly 18 hours since symptom onset.

scholarly journals A Case of Functional Testicular Torsion Caused by Incarcerated Inguinal Hernia in a Newborn

2021 ◽  
Vol 28 (4) ◽  
pp. 157-160
Author(s):  
Yoo Kyung Choi ◽  
Yo Han Ho
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Neonatal Intensive Care ◽  
Testicular Torsion ◽  
Color Doppler ◽  
Rare Event ◽  
Cord Compression ◽  
Palpable Mass ◽  
Incarcerated Inguinal Hernia ◽  
Scrotal Ultrasound

Testicular torsion in neonates is a urologic emergency with an incidence of 6.1 per 100,000 live births. Incarcerated inguinal hernia is also an emergency with an incidence of approximately 6% to 31% in children with inguinal hernia. Functional testicular torsion from an incarcerated inguinal hernia is a rare event in children, often not considered in the initial evaluation. A 19-day-old newborn boy was admitted to our neonatal intensive care unit after visiting a primary clinic. He presented with inconsolable crying and right scrotal swelling. Upon initial physical examination, a hard palpable mass and swelling was found in the inguinoscrotal region, accompanied with redness and warmth of the scrotum. Scrotal ultrasound with color Doppler showed inguinal hernia with strangulation and scanty blood flow to the testis. The patient underwent a right orchiectomy and partial resection of the affected small bowel. Surgical findings confirmed a testicular torsion and incarcerated inguinal hernia with testis with small bowel necrosis. Here, we report a rare case of a newborn with functional testicular torsion as a result of prolonged spermatic cord compression due to incarcerated inguinal hernia.

Is Pathological Exam for Disorders of the Appendix Testis Necessary?

2021 ◽  
pp. 000313482110545
Author(s):  
John M. Pickering ◽  
H. William Hunt ◽  
S. Dave Bhattacharya
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Testicular Torsion ◽  
Pediatric Patients ◽  
Standard Of Care ◽  
Acute Scrotum ◽  
Pathological Analysis ◽  
Use Of Resources ◽  
Proven Benefit ◽  
Appendix Testis

Testicular appendages are remnants of embryologic structures commonly encountered during pediatric operations. The literature is vague on the management of incidentally discovered testicular appendages found intraoperatively. We performed a retrospective review of 93 pediatric patients who were found to have an incidental testicular appendage during inguinal hernia repair, cryptorchidism, or testicular torsion cases from December 2017 to June 2020. 100% of the incidental testicular appendage pathology results were benign. All of the specimens were 1.0 cm or less in their largest dimension. Removal of these specimens is considered the standard of care at our institution to help prevent torsion of the testicular appendage, which is one of the leading causes of acute scrotum in children. The authors of this study argue that pathological analysis is unnecessary and may result in excessive use of resources without proven benefit.

A Clinical Study and Management of Inguino-scrotal Swellings In Children

2018 ◽  
Vol 2 (S1) ◽  
pp. e000125
Author(s):  
Khyati Vaja ◽  
Mukesh Suvera
Keyword(s):  
Inguinal Hernia ◽  
Pediatric Surgery ◽  
Pediatric Patients ◽  
Undescended Testis ◽  
Length Of Hospital Stay ◽  
Indirect Inguinal Hernia ◽  
Short Term ◽  
One Year ◽  
Groin Hernias ◽  
Inguinal Hernia In Children

Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.

scholarly journals Treatment of an incarcerated inguinal hernia associated with abdominal tuberculosis in an adult patient

2018 ◽  
Vol 46 (8) ◽  
pp. 3474-3479
Author(s):  
Lin-bo Zhu ◽  
Yuan-yan Zhang ◽  
Jun-qiang Li ◽  
Peng-fei Li ◽  
Peng-bin Zhang ◽  
...  
Keyword(s):  
Developing Countries ◽  
Inguinal Hernia ◽  
English Language ◽  
Pediatric Patients ◽  
Extrapulmonary Tuberculosis ◽  
Abdominal Tuberculosis ◽  
Incarcerated Inguinal Hernia ◽  
Definitive Guideline ◽  
Unusual Finding ◽  
Language Literature

The incidence of tuberculosis is increasing worldwide, especially in developing countries. The prevalence of abdominal tuberculosis has been found to be as high as 12% in people with extrapulmonary tuberculosis. Peritoneal thickening and intestinal adhesions can occur in patients with abdominal tuberculosis. Inguinal hernias are extremely rare in people with abdominal tuberculosis; only 11 cases have been reported in the English-language literature, half of which involved pediatric patients. No definitive guideline on the management of such cases is available. In this report, we describe the unusual finding of an incarcerated inguinal hernia in an adult with abdominal tuberculosis and propose a therapy to treat this complicated disease based on our successful experience.

Approach to Male Urologic Emergencies

2019 ◽  
Author(s):  
Jonathan E. Davis ◽  
Jeffrey S. Dubin
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Necrotizing Fasciitis ◽  
Testicular Torsion ◽  
Diagnosis And Treatment ◽  
Acute Scrotum ◽  
Scrotal Pain ◽  
Penile Pain ◽  
Emergency Department Setting ◽  
Acute Scrotal Pain

This review details the evaluation and management of the acute scrotum in the emergency department setting and emergent penile complaints in adults, with an emphasis on the most serious and most common conditions. Other emergent conditions include necrotizing fasciitis of the perineum (Fournier disease), incarcerated or strangulated inguinal hernia, and genitourinary (GU) trauma. Emergency practitioners need to be most concerned with the entities that, if left untreated, can result in ischemia and necrosis of the penis. Basic anatomy and bedside evaluation are reviewed. Acute scrotal and penile pain and GU trauma are discussed in terms of assessment and stabilization, diagnosis, and treatment and disposition.  This review contains 5 figures, 19 tables, and 71 references. Keywords: Acute scrotal pain, testicular torsion, priapism, Peyronie disease, paraphimosis, phimosis, balanitis, posthitis, epididymitis

Modified Marcy repair for indirect inguinal hernia in children: a 24-year single-center experience of 6826 pediatric patients

Surgery Today ◽  
2016 ◽  
Vol 47 (1) ◽  
pp. 108-113 ◽  
Author(s):  
Zenon Pogorelić ◽  
Marijana Rikalo ◽  
Miro Jukić ◽  
Josip Katić ◽  
Ivo Jurić ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Pediatric Patients ◽  
Indirect Inguinal Hernia ◽  
Single Center ◽  
Single Center Experience ◽  
Marcy Repair ◽  
Inguinal Hernia In Children

scholarly journals Manual Reduction of Incarcerated Inguinal Hernia in Children

2013 ◽  
Vol 32 (3) ◽  
pp. 229-232
Author(s):  
Bijay Thapa ◽  
Madhusudan Pun
Keyword(s):  
Inguinal Hernia ◽  
Indirect Inguinal Hernia ◽  
Female Ratio ◽  
Incarcerated Inguinal Hernia ◽  
Manual Reduction ◽  
Undergo Emergency Surgery ◽  
Hands On ◽  
Resection And Anastomosis ◽  
Male To Female ◽  
Inguinal Hernia In Children

Introduction: Incarceration of an indirect inguinal hernia in children is an acute emergency and one of the common complications that may occur before herniotomy. Inguinal hernias rarely go away, and therefore, virtually all should be repaired at any age of presentation. Incarcerated inguinal hernia can be reduced successfully by manual reduction if performed by experienced hands on time. The objective of this study was to assess the safety and efficacy of manual reduction of incarcerated indirect inguinal hernia. Materials and Methods: Thirty six patients who attended Emergency Department of Kanti Children’s Hospital over 30 months period from January 2009 to July 2011 were studied prospectively. All patients were diagnosed case of inguinal hernia and waiting for elective herniotomy. Results: There were 30(83.33%) males and 6(16.66%) females, with male-to-female ratio of 5:1. Right sided inguinal hernia was 20(55.5%) and left 16(44.44%). The ages ranged from 1.5 months to 28 months with mean age of 15 months. Time of incarceration ranged from 3 hours to 30 hours. Manual reduction was successful in 30(83.33%). Remaining six had to undergo emergency surgery. Four patients with edematous but viable hernial contents had successful surgical reduction. Two patients with gangrenous small bowel loops had bowel resection and anastomosis. Conclusion: Manual reduction is safe and effective when performed timely. Herniotomy should be done without delay once diagnosed to avoid unnecessary complications. DOI: http://dx.doi.org/10.3126/jnps.v32i3.6146 J. Nepal Paediatr. SocVol.32(3) 2012 229-232

scholarly journals Equine acquired inguinal herniation - diagnosis and treatment in 62 cases

2018 ◽  
Vol 72 (1) ◽  
pp. 22-34 ◽  
Author(s):  
Milomir Kovac ◽  
Ruslan Aliev ◽  
Tatjana Ippolitova ◽  
Zoran Tambur
Keyword(s):  
Inguinal Hernia ◽  
Discharge Rate ◽  
Blood Parameters ◽  
Good Prognosis ◽  
Indirect Inguinal Hernia ◽  
Laboratory Findings ◽  
Veterinary Clinic ◽  
Incarcerated Inguinal Hernia ◽  
The Right ◽  
Inguinal Herniation

Introduction. The medical records of 62 stallions with acquired inguinal herniation were reviewed (2007-2017). Materials and Methods. The history, clinical and laboratory findings on admission to the clinic and methods of treatment have been summarized. Results and Conclusions. The prevalence of inguinal hernia among horses with colic was 3.85 % (62/1609 cases). Indirect inguinal hernia was observed in 58 cases (93.54 %) and incarcerated inguinal hernia was observed in 55 horses (88.71 %). Hernia was found more frequently on the left side (36 cases) then on the right (26 cases). The majority of horses with acquired inguinal hernia were admitted to the clinic in the summer and spring (49/62), i.e. when air temperatures were high, significantly more (p<0.05) than in winter or autumn (13/62). Comparing the breed proportion of hernia cases with other horses with colic, disproportionately high percentages of trotter and thoroughbred horses were found with acquired inguinal herniation. Significant differences of the clinical and laboratory blood parameters were found when more time had passed from the onset of colic until the horses? arrival at the clinic. There was a significant positive correlation between the duration of colic and the onset of gastric reflux, increase of hematocrit and heart rate. Six horses were conservatively and 55 horses surgically treated. The clinic discharge rate was 90.32% (56/62). Early diagnosis and admission to the veterinary clinic and emergency surgery is necessary for equine inguinal hernia. The conservative treatment was successful only in cases of incarcerated inguinal hernia with colic duration less than 4 hours. Equine acquired inguinal herniation carries a good prognosis if the affected horse is rapidly taken to a specialized facility where a conservative or surgical correction is performed promptly.

scholarly journals Incarcerated inguinal hernia in infancy associated with testicular infarction: Case report and review of the literature

2013 ◽  
Vol 7 (5-6) ◽  
pp. 367 ◽  
Author(s):  
Fahad Alyami ◽  
Thomas Whelan
Keyword(s):  
Inguinal Hernia ◽  
Young Patients ◽  
Interesting Case ◽  
Acute Scrotum ◽  
Review Of The Literature ◽  
Surgical Service ◽  
Incarcerated Inguinal Hernia ◽  
Young Males ◽  
Scrotal Ultrasound ◽  
Testicular Infarction

One of the most common urgent urologic problems seen in young patients in the emergency department is the acute scrotum. Testicular infarction from an incarcerated inguinal hernia is an unusual presentation and often not considered in the initial evaluation. Herein, we present an interesting case of a 28 day old boy who presented with an acute scrotum and was found to have a testicular infarction and an incarcerated inguinal hernia. The management of similar cases in young males may vary depending on which surgical service is consulted initially and a scrotal ultrasound should be done without any delay.

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