A rare complication after inguinal hernia repair: testicular torsion

Year 2019, Volume: 5 Issue: 1, 209 - 212, 04.01.2019

Yusuf Önder Özsağır Görkem Akça Mustafa Ozan Horsanalı , Hüseyin Eren , Eyüp Dil

https://doi.org/10.18621/eurj.381909

Abstract

Testicular torsion is the most common urological
emergency characterized by reduced blood flow of the testis, often due to
spermatic cord torsion occurring in adolescence. A 68-year-old male patient
admitted our hospital emergency service with the complaint of acute scrotal
pain for a week. On history, he had undergone right inguinal hernia repair with
synthetic mesh one week ago. Due to reduced blood flow of right testicular
artery on colored doppler ultrasonography, emergent surgery was performed. On intraoperative
examination, 360 degree torsion of spermatic cord from distal to the mesh,
thrombosis of right testicular artery and necrosis of testicular tissue was
observed. After detorsion of right testis, absence of blood supply to the right
testis was observed. According to these findings, right inguinal orchiectomy
was performed. It should be kept in mind that persistent pain may be a sign of
testicular torsion which may develop early after inguinal hernia repair with
synthetic polypropylene mesh. In suspicious of testicular torsion because of
persistent scrotal pain after inguinal surgery, scrotal colored doppler
ultrasonography must be performed immediately and consulted to the urologist. Succeed
results may be provided by multidisciplinary approach and early treatment. 

Keywords

Orchiectomy, testicular torsion, inguinal hernia repair, synthetic polypropylene mesh

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