# Indirect Inguinal Hernia Causing Testicular Ischemia: A Case Report

## TL;DR

A 31-year-old man's testicular pain was caused by a rare hernia complication, requiring urgent surgery and successful recovery.

## Contribution

This case report highlights testicular ischemia caused by an incarcerated inguinal hernia, not torsion, and its successful surgical management.

## Key findings

- Testicular ischemia was caused by a hernia extending into the scrotum, compressing the spermatic cord.
- Surgical repair with mesh and orchidopexy restored testicular vascularity and function.
- The patient recovered well with no complications following the procedure.

## Abstract

Testicular ischemia secondary to an incarcerated inguinal hernia is a rare but serious complication that requires urgent surgical intervention. We report the case of a 31-year-old man who presented to the emergency department with severe left testicular pain, inguinal fullness, and scrotal swelling. Urgent scrotal ultrasonography suggested that the patient had testicular torsion. Intraoperatively, no torsion was identified, and the hernia had extended into the scrotum, causing compression and constriction of the spermatic cord. Furthermore, inguinal hernia repair with mesh and left orchidopexy were performed. Follow-up ultrasonography demonstrated good testicular vascularity. The patient tolerated the procedure well and was discharged in good condition.