A 23-year-old male presented to the ER with left scrotal pain and swelling after being struck with a knee in the left inguinoscrotal area during a basketball game. Upon examination, an incarcerated scrotal hernia with necrotic segment of small bowel was found. Bowel was resected and direct reanastomosis performed. This appears to be the first such case in the English-language literature.
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http://dx.doi.org/10.1097/00005373-198805000-00033 | DOI Listing |
Int J Surg Case Rep
January 2025
Department of Histopathology, Seychelles Hospital, Seychelles.
Introduction: Amyand's hernia is incarceration of vermiform appendix within inguinal hernia. Amyand's hernia associated with acute appendicitis is rare.
Case Presentation: A male in his 5th decade of life presented with enlarged right reducible inguinal scrotal swelling and each episode of incarceration relieved manually.
European J Pediatr Surg Rep
January 2024
Department of Pediatric Surgery, Ostschweizer Kinderspital, St. Gallen, Switzerland.
Transverse testicular ectopy (TTE) is a rare anomaly in which both testicles descend through the same inguinal canal. Different variants of this anomaly exist, with the most common presenting as two separate spermatic cords and testicular vessel bundles. The management of this condition is challenging, as various factors have to be considered.
View Article and Find Full Text PDFCureus
November 2024
Emergency Medicine, Franciscan Health, Olympia Fields, USA.
Testicular pain is a common complaint in emergency departments, with a wide range of underlying pathologies. Incarcerated inguinal hernias are an emergent and often overlooked cause of testicular pain, necessitating prompt diagnosis and management. These cases can be complex, especially when the hernia contents obscure the clinical picture.
View Article and Find Full Text PDFSurg Case Rep
November 2024
Department of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University, 2-7, Daigaku-Machi, Takatsuki, Osaka, 569-8686, Japan.
Background: Colonoscopy is widely performed. However, reports of colonoscopic incarceration within inguinal hernias are rare. Incarceration during colonoscopy is a critical condition, and attempting forced reduction may exacerbate complications; therefore, a careful approach is required.
View Article and Find Full Text PDFAm Surg
November 2024
Department of General Surgery, Zigong Fourth People's Hospital, Zigong, China.
Background: Inguinal hernia repair, particularly using TAPP, is common in males, and acclaimed for minimal invasiveness but often complicated by seromas, significantly affecting recovery and health care costs.
Methods: This retrospective study analyzed data from 266 male patients with unilateral indirect inguinal hernia who underwent transabdominal preperitoneal (TAPP) repair. We divided the patients into a training set (n = 188) and a validation set (n = 78).
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