Salemis Nikolaos S, Nisotakis Konstantinos
2 Department of Surgery, Army General Hospital, Athens, Greece.
Clin Pract. 2011 Sep 28;1(3):e68. doi: 10.4081/cp.2011.e68. eCollection 2011 Jul 1.
Testicular atrophy is a rare but distressing complication of inguinal hernia repair. Apart from the postsurgical etiology, ischemic orchitis and subsequent testicular atrophy may occur secondary to compression of the testicular vessels by chronically incarcerated hernias. We present a rare case of testicular atrophy secondary to a large long standing incarcerated inguinal hernia of 2-decade duration in a 79-year-old man. Testicular atrophy should be always considered in long standing incarcerated inguinal hernias and patients should be adequately informed of this possibility during the preoperative work-up. Preoperative scrotal ultrasonography can be used to determine testicular status in this specific group of patients.
睾丸萎缩是腹股沟疝修补术一种罕见但令人痛苦的并发症。除了术后病因外，慢性嵌顿疝压迫睾丸血管可能继发缺血性睾丸炎及随后的睾丸萎缩。我们报告一例罕见病例，一名79岁男性因长达20年的巨大长期嵌顿性腹股沟疝继发睾丸萎缩。对于长期嵌顿性腹股沟疝，应始终考虑到睾丸萎缩的可能性，并且在术前检查期间应充分告知患者这种可能性。术前阴囊超声检查可用于确定这一特定患者群体的睾丸状况。
