ACTA SCIENTIFIC CLINICAL CASE REPORTS

Case Report Volume 5 Issue 3

Testicular Torsion Due to Right Inguinoscrotal Hernia with Ipsilateral Omental Wrap in an 11-Year-Old Boy. Case Report

Vittoria Campanella*, Maria Nobili, Raffaella Cocomazzi, Cosetta Maggipinto and Francesco Canale

Department of Pediatric Surgery, Policlinico Riuniti Foggia Hospital, Foggia, Italy

*Corresponding Author: Vittoria Campanella, Department of Pediatric Surgery, Policlinico Riuniti Foggia Hospital, Foggia, Italy.

Received: January 18, 2024; Published: February 08, 2024

Abstract

Case Presentation: WAn 11-year-old male presented with acute right testicular pain of several hours duration. Clinical suspicion of testicular torsion prompted an emergency scrotal Doppler ultrasound, revealing a testicle with increased volume and edematous epididymis. The spermatic cord was twisted with vascular congestion and a reactive hydrocele with particulate material were noted. The testis was markedly tender to palpation. The patient exhibited no systemic symptoms, and abdominal examination was unremarkable. Urgent surgery was performed, revealing an inguinal hernia with a substantial amount of omentum without sign of inflammation enveloping and adherent to the testicle, which was also torted to 180 degrees on its axis.

Conclusion: This presentation raises the question of whether testicular torsion occurred first, followed by omental incarceration, or if the omentum prevented complete testicular rotation.

Keywords: Omental Incarceration; Testicular Torsion; Case Report

References

  1. AlyamiF Thomas Whelan. “Incarcereted inguinal hernia in infancy associated with testicular infarction: case report and review of literature”. Canadian Urological Association Journal 5-6 (2013): E367-369.
  2. Wood MJ. “Hernia mimicking testiculat torsion”. Clinical Nuclear Medicine 2 (1987): 142-143.
  3. A Kapisiz., et al. “Omental incarceration may cause hydrocele and this hydrocelconfused simple or scrotal hydrocel”. Hernia1 (2011): 43-45.
  4. Di Nicola V. “Omentum a powerful biological source in regenerative surgery”. Regenerative Therapy 11 (2019): 182-191.

Citation

Citation: Vittoria Campanella., et al. “Testicular Torsion Due to Right Inguinoscrotal Hernia with Ipsilateral Omental Wrap in an 11-Year-Old Boy. Case Report"Acta Scientific Clinical Case Reports 5.3 (2024): 30-32.

Copyright

Copyright: © 2024 Vittoria Campanella., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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