Testicular infarction becoming apparent after hernia reduction.

Background: Testicular infarction from an incarcerated inguinal hernia is a rare event in children, often not considered in the initial evaluation.

Objective: To report a case that describes the presentation, diagnosis, and management of testicular infarction in the setting of an incarcerated inguinal hernia.

Case Report: A 2-month old boy was brought to the Emergency Department (ED) by his parents for vomiting, crying, and a left-sided scrotal swelling.

A child with appendicitis after appendectomy.

Stump appendicitis, although rare, is a real entity that is often not considered during the evaluation of children with right lower quadrant pain and a surgical history of appendectomy. The history of appendectomy in a child may delay the diagnosis and management of this entity by misleading the physician into thinking that this patient could never have appendicitis again. However, the diagnosis of appendicitis should be considered in any patient with right lower quadrant pain, even if there is a history of appendectomy.

Fell on outstretched hand.

Radial neck fractures in children are not uncommon. Most are minimally displaced or nondisplaced. Severely displaced fractures or angulated radial neck fractures in children often have poor outcomes, especially if not reduced, and even after open reduction.

Two teenagers with syncope.

We report the cases of 2 teenagers with syncope and headaches who were subsequently found, on head computed tomography examinations, to have central nervous system etiologies (arteriovenous malformation and arachnoid cyst) of their syncope. These cases highlight the importance of a focused history and physical examination when evaluating patients who present with syncope.