Incarcerated Inguinal Hernia: A Cause of Testicular Ischemia Without the ‘Twist’
نویسندگان
چکیده
Address for Correspondence: Divya Singh, Prime Diagnostic Centre, Radiology, Chandigarh, India E-mail: [email protected] ©Copyright 2017 by Emergency Physicians Association of Turkey Available online at www.jemcr.org Introduction Acute scrotal pain and swelling are common presentations in the emergency room (ER). The etiology of acute scrotum is diverse, namely ischemia (testicular or appendiceal torsion), infection (epididymo-orchitis, abscess, Fournier’s gangrene), inflammation (Henoch-Schonlein purpura of scrotal wall and fat necrosis), trauma, and hernia (1). Accurate history and physical examinations usually help define the condition. Imaging examinations complement the clinical judgment in equivocal cases. Among all the abovementioned conditions, testicular ischemia requires the most expeditious diagnosis because time is crucial for salvaging the testis from irreversible damage. Here we present a case of testicular ischemia in a patient with an incarcerated inguinal hernia.
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Testicular atrophy secondary to a large long standing incarcerated inguinal hernia
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