Torsion of pediatric indirect inguinal hernia sac: A rare case

Torsion of the hernia sac is a rare condition that presents as an acute scrotum. There are 11 cases reported in the English literature at the best of our knowledge, this case is the 12th case. We report a case, a 2.5 -year-old boy, who presented to the emergency room with tender right sided scrotal...

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Published inJournal of pediatric surgery case reports Vol. 64; p. 101716
Main Authors Basem Saied Abdelkader, Mahmoud Ahmed Ahmed Abdelbary, Amer Nihal Ahmed
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.01.2021
Elsevier
Subjects
Acute scrotum
Hernia sac
Torsion
Hernia sac
Torsion
Acute scrotum
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Summary:Torsion of the hernia sac is a rare condition that presents as an acute scrotum. There are 11 cases reported in the English literature at the best of our knowledge, this case is the 12th case. We report a case, a 2.5 -year-old boy, who presented to the emergency room with tender right sided scrotal swelling. Ultra-sonography revealed intra-scrotal extra-testicular cystic lesion with normal right testis and epididimys. At surgery, a necrotic cyst with dark altered fluid was identified extending into the scrotum, it was connected to the peritoneal cavity, not connected to the testis or the epididymis, and it was twisted.
ISSN:2213-5766
2213-5766
DOI:10.1016/j.epsc.2020.101716