1887
Volume 2020, Issue 1
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

The incidence of indirect inguinal hernia in young children ranges from 0.8% to 4.4%. Infants are at a high risk of testicular ischemia from indirect inguinal hernia due to their delicate vascular supply. A 5-year-old patient presented with a rare case of acute testicular ischemia secondary to an incarcerated inguinal hernia. He underwent surgery that successfully salvaged his testicle. Emergency medicine providers need to clinically suspect for testicular ischemia even in the presence of examination findings suggestive of an alternative diagnosis, such as inguinal hernia.

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/content/journals/10.5339/jemtac.2020.5
2020-06-03
2024-04-18
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References

  1. McKay JP, Organ M, Bagnell S, Gallant C, French C. Inguinoscrotal hernias involving urologic organs: A case series. CUAJ-Canadian Urological Association Journal; 2014.
  2. Mesrobian HG, Balcom AH, Durkee CT. Urologic problems of the neonate. Pediatr Clin North Am. 2004; 51::10511062.
    [Google Scholar]
  3. Alyami F, Whelan T. Incarcerated inguinal hernia in infancy associated with testicular infarction: Case report and review of the literature. Canadian Urological Association journal =  Journal de l'Association des urologues du Canada; 2013.
  4. Wood MJ. Hernia mimicking testicular torsion. Clin Nucl Med. 1987; 12::142143.
    [Google Scholar]
  5. Slomann JG, Mylius RE. Testicular infarction in infancy: its association with irreducible inguinal hernia. Med J Aust. 1958; 45::242244.
    [Google Scholar]
  6. Wiklander O. Incarcerated inguinal hernia in childhood. Acta Chir Scand. 1951; 101::303311.
    [Google Scholar]
  7. Ameh EA. Morbidity and mortality of inguinal hernia in the newborn. Niger Postgrad Med J. 2002; 9::233234.
    [Google Scholar]
  8. Hill MR Jr, Pollock WF, Sprong DH Jr. Testicular infarction and incarcerated inguinal herniae. Arch Surg. 1962; 85::351354.
    [Google Scholar]
  9. Bertozzi M, Rinaldi VE, Prestipino M, Giovenali P, Appignani A. Dirofilariasis mimicking an acute scrotum. Pediatr Emerg Care. 2015;31: 715–716.
  10. Patel RV, Dawrant M, Scott V, Fisher R. Omental infarct in a hernia: an unusual cause of paediatric acute scrotum. BMJ Case Rep. 2014;2014.
  11. Fukui S, Aoki K, Shimada K, Samma S. Acute scrotum caused by hernia sac torsion. Urology. 2016;89:126–128.
  12. Orth RC, Towbin AJ. Acute testicular ischemia caused by incarcerated inguinal hernia. Pediatr Radiol . 2012; 42::196200.
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): indirect inguinal herniascrotal paintesticular ischemiatesticular pain and testicular torsion
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