Volume 6, Issue 3 (2021)                   SJMR 2021, 6(3): 149-153 | Back to browse issues page

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Mortazavi M, Roshanzamir F, Amini Mahabadi J, Amini Mahabadi A. Testicular ischemia due to hernia pressure with initial diagnosis of testicular torsion. SJMR. 2021; 6 (3) :149-153
URL: http://saremjrm.com/article-1-231-en.html
1- Sarem Fertility & Infertility Research Center (SAFIR), Sarem Women's Hospital, Iran University of Medical Sciences (IUMS), Tehran, Iran.
2- Sarem Fertility & Infertility Research Center (SAFIR), Sarem Women's Hospital, Iran University of Medical Sciences (IUMS), Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
3- Sarem Fertility & Infertility Research Center (SAFIR), Sarem Women's Hospital, Iran University of Medical Sciences (IUMS), Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran. , j.mahabadi64@gmail.com
4- Payame Noor Ardestan University, Isfahan, Iran
Abstract:   (39 Views)
Introduction: Testicular torsion is one of the most important urological emergencies that is caused by the twisting of the spermatic cord and delay in diagnosis and treatment of this disease leads to testicular destruction. Damage to the testicular blood supply due to testicle trauma or rotation requires emergency surgical intervention. Ischemia of testicular tissue also causes the death of germ cells in this tissue, which is mainly due to lack of oxygen required for metabolic activities, depletion of stored cellular energy, and accumulation of toxic metabolites. Therefore, the aim of the present study was to evaluate testicular ischemia due to hernia pressure with the initial diagnosis of testicular torsion.
Case presentation: The introduced case was a 30-days-old baby who was referred to emergency with the situation of moans and restlessness. In primary examinations, testicular torsion was diagnosed due to swelling and ischemia, which was seen after hernia ischemic surgery due to hernia pressure. Inguinal hernia is a common surgery in infants, but due to observed symptoms, in this case, the initial diagnosis of torsion was made. The formation of testicular torsion is one of the rare cases in infants and is part of emergency surgery due to the damage it causes to the testicular tissue.
Conclusion:  It seems that according to the patient's condition and having an inguinal hernia and an undescended testicle at the same time, which is stuck in the canal due to non-descent of the testicle and due to the hernia space on the abdominal organs, causes double pressure on the testicle and cause symptoms that can be seen in testicles torsion. Therefore, in these conditions, emergency surgery is the best way regarding the passing of about 9 hours of pain and moaning due to ischemia and the possibility of damage to the testicular tissue and also due to irreversible consequences such as sterilization.

 
Article number: 3
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Article Type: Case Report | Subject: Pregnancy Care
Received: 2021/11/22 | Accepted: 2021/12/13 | Published: 2022/08/6

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