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Acute Scrotum Caused by Hernia Sac Torsion
Shinji Fukui1, Katsuya Aoki2, Keiji Shimada3
1Department of Urology, Nara Prefecture General Medical Center, Nara, Japan.
Abstract:
A 9-year-old boy was referred to us with an acute pain attack of the left scrotal contents. Ultrasonography showed a normal blood supply to the left testis, suggesting an incarcerated left inguinal hernia. Surgical exploration did not demonstrate an incarcerated left inguinal hernia. After exploration of the left testis, a dark red pedunculated cystic mass, separate from the left testis, was found to be twisted. Immunohistochemical studies of the excised cyst demonstrated torsion of the hernia sac of the peritoneum. In conclusion, we encountered a case of acute scrotum which was probably caused by torsion of the hernia sac.
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