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Torsion of the hernia sac within a hydrocele of the scrotum in a child
Author(s) -
MATSUMOTO AKIHIKO,
NAGATOMI YUTAKA,
SAKAI MASATO,
OSHI MASAYA
Publication year - 2004
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2004.00876.x
Subject(s) - hydrocele , medicine , scrotum , testicular torsion , cyst , inguinal hernia , acute scrotum , hernia , torsion (gastropod) , anatomy , pathological , surgery , radiology , pathology
Torsion of the hernia sac is a rare disease that presents as acute scrotum in children. Including the present case, only six cases have been reported in the English literature. We report a 10‐year‐old boy who presented with pain and swelling of his right scrotum. Ultrasonography revealed a hypoechoic region adjacent to the normal right testis. The inflammatory changes of the right scrotum deteriorated. The patient underwent surgery and a necrotic cyst was recognized within a hydrocele of the scrotum. The cyst was not connected with the testis or epididymis and was twisted at an angle of 270°. The cause of the necrotic cyst observed was anatomical and pathological torsion of the hernia sac.