Testicular Torsion in the Left Inguinal Canal in a Patient with Inguinal Hernia: A Difficult Case to Diagnose

Objectives. To report our experience and present the largest series of testicular torsion cases in the inguinal canal.Material and Methods. The clinical data of 13 patients with testicular torsion in the inguinal canal treated between 2005 and 2013 were reviewed. Recorded patient age, whether the testes were palpable or not, side of the affected testes, the presence of hernia, ischemia time, and operation outcomes were assessed.Results. Patient age ranged from 8 to 70 months (29.15 ± 20.22). Mean ischemia time was 16.5 ± 21.3 hours. Accompanying inguinal hernia was present in 92% of the cases (12/13). Four of the thirteen patients (30.8%) were treated by orchiectomy because the necrosis was present after prolonged ischemia time. Nine patients (69.2%) were treated by single session orchidopexy.Conclusion. Torsion of testes in the inguinal canal is a rare disease, but with rapid diagnosis, affected testes can be salvaged, but the key factor is to keep this condition in mind.

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

Journal of Surgical Case Reports ◽

10.1093/jscr/rjab022 ◽

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.

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A rare type of pinched inguinal hernia

Kazan medical journal ◽

10.17816/kazmj84434 ◽

2001 ◽

Vol 82 (6) ◽

pp. 459-460

Author(s):

K. A. Koreyba

Keyword(s):

Inguinal Hernia ◽

Inguinal Canal ◽

Malignant Degeneration ◽

Undescended Testicle ◽

Rare Type ◽

Endocrine Insufficiency

Cryptorchidism is known to occur in 0.18-3.6% of the population. Impingement of an undescended testicle in the inguinal canal has been described in 1.9% of cases as one of the complications of cryptorchidism along with volvulus and malignant degeneration (up to 15-40%). In 20-80% of cases, cryptorchidism is combined with inguinal hernia. Endocrine insufficiency in cryptorchidism occurs in 4-5% of cases.

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9 CASES OF AMYAND’S HERNIA IN CHILDREN

10.25005/2074-0581-2021-23-1-118-123 ◽

2021 ◽

pp. 118-123

Author(s):

M.KH. MALIKOV ◽

◽

F.SH. RASHIDOV ◽

F.B. BOKIEV ◽

F.M. KHAMIDOV ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Postoperative Period ◽

Inguinal Canal ◽

Posterior Wall ◽

Vermiform Appendix ◽

Greater Omentum ◽

Amyand’S Hernia ◽

Inguinoscrotal Hernia ◽

Hernial Sac

9 children aged 4 to 14 years underwent a right-sided inguinal hernia repair, at the same time, a vermiform appendix was found in the hernial sac. All patients were hospitalized with a diagnosis of «Congenital right-sided inguinoscrotal hernia», bilateral hernias were not observed. Objectively, there were all signs of the disease, all hernias were reducible. The presence of the appendix in the hernial sac before the operation was not diagnosed either clinically or by ultrasound. The contents of the hernial sac had a thickened and long vermiform appendix, a greater omentum, and in two cases – a cecum of the type of sliding hernia. The children were operated on under general anesthesia: appendectomy and plastic surgery of posterior wall of inguinal canal were performed. No complications were observed in the postoperative period.

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Surgical treatment of inguinal hernia in childhood

Kazan medical journal ◽

10.17816/kazmj77427 ◽

1927 ◽

Vol 23 (9) ◽

pp. 972-972

Author(s):

I. Tsimkhes

Keyword(s):

Early Childhood ◽

Inguinal Hernia ◽

Surgical Treatment ◽

Inguinal Canal ◽

Older Children ◽

Processus Vaginalis ◽

Hernia Sac ◽

Absolute Certainty ◽

Inguinal Hernias

The author finds that the number of inguinal hernias in early childhood, due to incomplete overgrowth of the processus vaginalis peritonei, greatly prevails over the number of the same in older children. Some of these hernias heal spontaneously due to overgrowth of proc. vaginalis and lengthening of the inguinal canal itself. Bandage treatment, even in the most cultured setting, cannot guarantee with absolute certainty the budding of the hernia sac.

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An atypical post colonoscopy complication: bladder herniation

10.36879/jcmi.18.000104 ◽

2018 ◽

pp. 1-3

Keyword(s):

Emergency Department ◽

Inguinal Hernia ◽

Urinary Tract ◽

Inguinal Canal ◽

Distal Portion ◽

Abdominal Pressure ◽

Therapeutic Procedure ◽

Bladder Herniation ◽

Tomography Scan ◽

Physical Constitution

Colonoscopy is both a diagnostic and therapeutic procedure that allows examination and treatment of the rectum, colon, and the distal portion of the ileum. The risk of serious complications following colonoscopy is usually low. Hernial complications are rare after colonoscopy, and are probably promoted by an increased abdominal pressure and patient’s physical constitution. Inguinal hernia usually includes intestine and not parts of the urinary tract. In literature there no studies reporting cases of bladder herniation after a colonoscopy procedure. We presented a case of an 84-years-old man admitted to our emergency department reporting scrotum edema after a colonoscopy procedure; the abdominal computerized tomography scan showed a bladder herniation through the inguinal canal into the scrotum. The hernia was not manually reducible and required surgical correction.

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Approach to Male Urologic Emergencies

10.2310/em.4367 ◽

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

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Leiomyosarcoma of the inguinal canal

Annals of The Royal College of Surgeons of England ◽

10.1308/003588414x13946184902208 ◽

2014 ◽

Vol 96 (6) ◽

pp. e8-e9 ◽

Cited By ~ 1

Author(s):

R Patel ◽

P Chana ◽

J Armstrong ◽

R Lawrence

Keyword(s):

Inguinal Hernia ◽

Surgical Management ◽

Rare Case ◽

Inguinal Canal ◽

Histological Findings

We describe a rare case of a leiomyosarcoma in the inguinal canal in a patient presenting clinically with an inguinal hernia. The clinical details, histological findings and surgical management are reviewed.

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