Testicular atrophy secondary to a large long standing incarcerated inguinal hernia

  • Nikolaos S Salemis | nikos_salemis@hotmail.com
  • Konstantinos Nisotakis 2nd Department of Surgery, Army General Hospital, Athens, Greece.

Abstract

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.

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Published
2011-09-28
Section
Case Reports
Keywords:
hernia incarceration, chronic, testicular atrophy.
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How to Cite
Salemis, N., & Nisotakis, K. (2011). Testicular atrophy secondary to a large long standing incarcerated inguinal hernia. Clinics and Practice, 1(3), e68. https://doi.org/10.4081/cp.2011.e68