title: Torsion of an indirect hernia sac causing acute scrotal swelling in a child.
abstract: 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.
authors.affiliation: Department of Urology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University School of Medicine, Yangsan, Korea.
authors.forename: Jong Kil
authors.initials: JK
authors.lastname: Nam
authors.forename: Jae Hyun
authors.initials: JH
authors.lastname: Ahn
authors.forename: Hyeon Woo
authors.initials: HW
authors.lastname: Kim
authors.forename: Hyun Jun
authors.initials: HJ
authors.lastname: Park
authors.forename: Sang Don
authors.initials: SD
authors.lastname: Lee
authors.forename: Moon Kee
authors.initials: MK
authors.lastname: Chung
keywords: Hernia, inguinal; Scrotum; Torsion abnormality