Nisly Darren, Barnett Sean, Herzing Karen, Aranda Arturo
Surgery, Henry Ford Allegiance Health, Jackson, Michigan, USA.
Department of Pediatric Surgery, Dayton Children's Hospital/Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA.
BMJ Case Rep. 2018 Oct 27;2018:bcr-2018-227087. doi: 10.1136/bcr-2018-227087.
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.
睾丸扭转和急性嵌顿性腹股沟疝都是儿科常见的外科急症。我们报告了一例罕见病例，一名16岁青少年男孩同时出现了这两种病症。他有右侧腹股沟疝病史，但超声检查确诊为睾丸扭转，在将他送往手术室之前，我们在急诊科进行了手法复位。除了进行腹股沟疝还纳和修补手术外，我们成功挽救了睾丸。本报告的目的是强调对于急性腹股沟疼痛患者保持广泛鉴别诊断以及早期使用超声检查的重要性。
