Department of Urology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University School of Medicine, Yangsan, Korea.
World J Mens Health. 2012 Aug;30(2):150-2. doi: 10.5534/wjmh.2012.30.2.150. Epub 2012 Aug 31.
Torsion of a hernia sac is an extremely rare condition that presents as acute scrotum in children. We report a case of a 6-year-old boy who presented with an acute scrotum and was found during surgical exploration to have torsion of an indirect hernia sac associated with hydrocele. Upon scrotal exploration, deterioration of the scrotum due to inflammatory changes was found. A necrotic cyst was recognized within a communicating hydrocele of the scrotum and was twisted at an angle of about 360°. All urologists should be aware of this special condition in the differential diagnosis of acute scrotum.
疝囊扭转是一种极为罕见的疾病，表现为儿童急性阴囊。我们报告了一例 6 岁男孩，他因急性阴囊就诊，手术探查发现为间接疝囊扭转伴鞘膜积液。阴囊探查时，由于炎症改变发现阴囊恶化。在一个沟通性阴囊鞘膜积液中发现一个坏死性囊肿，并以约 360°的角度扭曲。所有泌尿科医生都应该在急性阴囊的鉴别诊断中注意到这种特殊情况。
