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Unusual presentation of more common disease/injury
CASE REPORT
Concurrent testicular torsion and acute incarcerated inguinal hernia in an adolescent boy
  1. Darren Nisly1,
  2. Sean Barnett2,
  3. Karen Herzing2,
  4. Arturo Aranda2
  1. 1Surgery, Henry Ford Allegiance Health, Jackson, Michigan, USA
  2. 2Department of Pediatric Surgery, Dayton Children’s Hospital/Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA
  1. Correspondence to Dr Arturo Aranda, arandaa{at}childrensdayton.org

Summary

Testicular torsion and acute incarcerated inguinal hernia are both common surgical emergencies in the paediatric population. We present the unusual case of a 16-year-old adolescent boy who presented with both of these conditions concurrently. He had a history of a right inguinal hernia, but ultrasound confirmed a testicular torsion and we employed manual detorsion in the emergency department prior to taking him to the operating room. We successfully salvaged the testicle in addition to performing inguinal hernia reduction and repair. The goal of this report is to emphasise the importance of maintaining a broad differential and early utilisation of ultrasound in the patient with acute groin pain.

  • paediatric surgery
  • general surgery

https://doi.org/10.1136/bcr-2018-227087

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    Footnotes

    • Contributors DN wrote the case report and participated in the surgery. SB reviewed the case report and participated in the surgery. AA reviewed the case report. KH is a research nurse who consented the patient.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.