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.

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 Gastric outlet obstruction secondary to incarcerated pylorus in an inguinal hernia

2014 ◽  
Vol 96 (5) ◽  
pp. e26-e27 ◽  
Author(s):  
L Creedon ◽  
O Peacock ◽  
R Singh ◽  
A Awan
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Incarcerated Inguinal Hernia ◽  
Common Presentation ◽  
Inguinal Hernias ◽  
Wide Range ◽  
The World ◽  
Surgical Admission

Inguinal hernias are a common presentation to surgical admission units throughout the world. The majority of presentations are due to hernias containing either fat or small bowel. However, a wide range of intra-abdominal viscera have been demonstrated in inguinal hernias. We report a case of an 87-year-old man who presented with gastric outlet obstruction secondary to an incarcerated inguinal hernia containing the gastric pylorus.

scholarly journals Small Bowel Obstruction from Internal Hernia as a Complicaton of Colonscopy

2000 ◽  
Vol 14 (11) ◽  
pp. 959-960 ◽  
Author(s):  
Robert Patterson ◽  
Gerhard Klassen
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Internal Hernia ◽  
Medical Literature ◽  
Bowel Perforation ◽  
Presumptive Diagnosis ◽  
Incarcerated Inguinal Hernia ◽  
Abdominal Radiology ◽  
Free Air ◽  
Paracecal Hernia

After colonoscopy with polypectomy, a patient developed a surgically acute abdomen. Although abdominal radiology did not show free air, a presumptive diagnosis of bowel perforation was made and laparotomy performed. At the time of surgery the colon was normal, and there was no peritoneal contamination. A loop of ileum was discovered incarcerated into an internal paracecal hernia. The bowel was freed, and the operation was completed without need for resection. Several cases of incarcerated inguinal hernia resulting from endoscopy are described in the medical literature; this is the first reported case of an incarcerated internal hernia as a complication of colonoscopy.

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.

scholarly journals Concurrent testicular torsion and acute incarcerated inguinal hernia in an adolescent boy

2018 ◽  
pp. bcr-2018-227087
Author(s):  
Darren Nisly ◽  
Sean Barnett ◽  
Karen Herzing ◽  
Arturo Aranda
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Operating Room ◽  
Testicular Torsion ◽  
Unusual Case ◽  
Groin Pain ◽  
Paediatric Population ◽  
Incarcerated Inguinal Hernia ◽  
Surgical Emergencies ◽  
History Of

Testicular torsion and acute incarcerated inguinal hernia are both common surgical emergencies in the paediatric population. We present the unusual case of a 16-year-old adolescent boy who presented with both of these conditions concurrently. He had a history of a right inguinal hernia, but ultrasound confirmed a testicular torsion and we employed manual detorsion in the emergency department prior to taking him to the operating room. We successfully salvaged the testicle in addition to performing inguinal hernia reduction and repair. The goal of this report is to emphasise the importance of maintaining a broad differential and early utilisation of ultrasound in the patient with acute groin pain.

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