Incarcerated inguinal hernia in infancy associated with testicular infarction: Case report and review of the literature

Abstract

One of the most common urgent urologic problems seen in young patients in the emergency department is the acute scrotum. Testicular infarction from an incarcerated inguinal hernia is an unusual presentation and often not considered in the initial evaluation. We present an interesting case of a 28-day-old boy who presented with an acute scrotum and was found to have a testicular infarction and an incarcerated inguinal hernia. The management of similar cases in young males may vary depending on which surgical service is consulted initially and a scrotal ultrasound should be done without any delay. © 2013 Canadian Urological Association.