title: Acute Scrotum Caused by Hernia Sac Torsion.
abstract: A 9-year-old boy was referred to us with an acute pain attack of the left scrotal contents. Ultrasonography showed a normal blood supply to the left testis, suggesting an incarcerated left inguinal hernia. Surgical exploration did not demonstrate an incarcerated left inguinal hernia. After exploration of the left testis, a dark red pedunculated cystic mass, separate from the left testis, was found to be twisted. Immunohistochemical studies of the excised cyst demonstrated torsion of the hernia sac of the peritoneum. In conclusion, we encountered a case of acute scrotum which was probably caused by torsion of the hernia sac.
authors.affiliation: Department of Urology, Nara Prefecture General Medical Center, Nara, Japan. Electronic address: doubletruth0922@yahoo.co.jp.
authors.forename: Shinji
authors.initials: S
authors.lastname: Fukui
authors.affiliation: Department of Urology, Nara Medical University, Kashihara, Japan.
authors.forename: Katsuya
authors.initials: K
authors.lastname: Aoki
authors.affiliation: Department of Pathology, Nara Medical University, Kashihara, Japan.
authors.forename: Keiji
authors.initials: K
authors.lastname: Shimada
authors.affiliation: Department of Urology, Nara Prefecture General Medical Center, Nara, Japan.
authors.forename: Shoji
authors.initials: S
authors.lastname: Samma
mesh_terms: D000208:Acute Disease; D002648:Child; D005832:Genital Diseases, Male / Q000209:etiology*; D006552:Hernia, Inguinal / Q000150:complications*; D006801:Humans; D008297:Male; D012611:Scrotum; D014102:Torsion Abnormality / Q000150:complications*