Unexpected huge testicular infarct complicating obstructed adult groin hernia: a case report

Background Testicular infarction/gangrene is usually caused by testicular torsion. Strangulated inguinal hernia complicated with testicular infarction is unusual in adults in contrast to many reported cases involving pediatric patients. Case presentation We report an unusual case of testicular gangr...

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Bibliographic Details
Published in:African journal of urology 2022-12, Vol.28 (1), p.1-3, Article 60
Main Authors: Tan, Shong Sheng, Mohamed Daud, Mohamed Ashraf, Hashim Isa Merican, Siti Rahmah, Mohammad Azmi, Mohd Azem Fathi, Nik Anuar, Nik Mohd Nurhafizi
Format: Article
Language:English
Subjects:
Abdomen
Adults
Case Reports
Children
Complicated groin hernia
Consent
Gangrene
Health aspects
Hernia
Hernias
Hospitals
Imaging
Ischemia
Medicine
Medicine & Public Health
Obstructed
Radiology
Surgery
Testicular infarct
Ultrasonic imaging
Urology
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Summary:Background Testicular infarction/gangrene is usually caused by testicular torsion. Strangulated inguinal hernia complicated with testicular infarction is unusual in adults in contrast to many reported cases involving pediatric patients. Case presentation We report an unusual case of testicular gangrene in an elderly man presented with abandoned right obstructed inguinoscrotal hernia. He had right open hernioplasty with right orchidectomy. Conclusion Obstructed adult inguinoscrotal hernia potentially leading to testicular gangrene, despite being uncommon sequalae. The surgeon should always routinely examine the testis during surgery for complicated hernia to prevent missed gangrenous testis behind.
ISSN:1110-5704
1961-9987
DOI:10.1186/s12301-022-00326-2