Strangulated Interstitial Hernia with Strangulated Cryptorchid Testis—First Case Report in the Medical Literature

• Published in: Indian journal of surgery 2018-04, Vol.80 (2), p.184-186
• Main Authors: Muqueem, Khalid, Kasa, Somasekhar, Patil, Nagareddy, Harsoori, Mohammed Minhajuddin
• Format: Article
• Language: English
• Subjects: Abdomen; Cardiac Surgery; Case Report; Case reports; Diagnosis; Gangrene; Hernia; Hernias; Medicine; Medicine & Public Health; Neurosurgery; Pain; Pediatric Surgery; Plastic Surgery; Professional relationships; Strangulation; Surgery; Thoracic Surgery; Ultrasonic imaging
• ISSN: 0972-2068; 0973-9793
• DOI: 10.1007/s12262-018-1729-0

Interstitial hernias are a rare subtype of abdominal hernias, where sac is present in between the abdominal wall layers. Although, difficult to diagnose clinically, they are usually detected on imaging studies. Interstitial hernias presenting with undescended testis are common. Even after a meticulous online search of the medical literature, we could not find a case report of 'Strangulation of Interstitial hernia, with a strangulated undescended testis in an elderly man. We hereby present this extremely rare case, and possibly, this could be the first of its kind, case report in the medical literature. Our aim is to present a combination of rare presentations in an elderly cryptorchid person with strangulated interstitial hernia. A 65-year male patient presented with 4 days of pain abdomen and vomiting. He was having features of toxaemia. Ultrasonography revealed interstitial hernia with bowel loops. During surgery, gangrenous bowel loops with the sac between the interstitial planes, with strangulated cryptorchid testis, were found. Strangulated interstitial hernia in elderly cryptorchid person, leading to the strangulation of the undescended testis, is extremely rare, and this could be the first case reported in the medical literature.