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KMID : 1037120120300020150
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The World Journal of Men′s Health
2012 Volume.30 No. 2 p.150 ~ p.152
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Torsion of an Indirect Hernia Sac Causing Acute Scrotal Swelling in a Child
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Nam Jong-Kil
Ahn Jae-Hyun
Kim Hyeon-Woo
Park Hyun-Jun
Lee Sang-Don
Chung Moon-Kee
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Abstract
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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.
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KEYWORD
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Scrotum, Hernia, inguinal, Torsion abnormality
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