Open AccessConcurrent testicular torsion and acute incarcerated inguinal hernia in an adolescent boy
Author(s) -
Darren Nisly,
Sean Barnett,
Karen Herzing,
Arturo Aranda
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-227087
Subject(s) - medicine , groin , testicular torsion , inguinal hernia , emergency department , hernia , testicular pain , surgical emergency , general surgery , surgery , spermatic cord torsion , differential diagnosis , pathology , psychiatry
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.