ABSTRACT
We report a case of acute scrotum in a 2-year-old child caused by torsion of an indirect hernia sac within a hydrocele. This is an extremely rare cause of acute scrotal swelling and pain in the pediatric population, with this case representing only the eighth instance reported in the literature. Despite the scarcity with which this diagnosis has been encountered, clinicians should include torsion of an indirect hernia sac on the differential diagnosis for acute scrotum in a child.
Subject(s)
Hernia/complications , Scrotum , Testicular Hydrocele/complications , Acute Disease , Child, Preschool , Humans , Male , Scrotum/diagnostic imaging , Scrotum/surgery , Testicular Hydrocele/surgery , Testis/diagnostic imaging , Torsion Abnormality , Ultrasonography, DopplerABSTRACT
We report the case of a 49-year-old man who presented with a 2-month history of a progressively enlarging squamous cell carcinoma on the skin of the proximal penile shaft. The patient refused penectomy and requested penile preservation. He was treated with wide surgical excision of the tumor, followed by a full-thickness vascularized scrotal skin flap. The treatment proved curative, with excellent cosmetic and functional results. The patient is without evidence of disease recurrence 7 years after therapy.
