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    Go to the top of the page   ID: 20040106222620 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Inguinal hernia (non incarcerated) with testicular hypoperfusion
    D Weber. Inguinal hernia (non incarcerated) with testicular hypoperfusion. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040106222620


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    D. Weber (Uniklinik Leipzig)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    3 Weeks  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Pelvis-Testis  

     
     Pediatric Radiology CasesMost likely etiology:

    circulatory  

     
     Pediatric Radiology CasesHistory:

    3 week old male infant, painful swelling in the groin area for a few hours.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Right-sided presentation of a 9 mm wide inguinal canal and within it a well differentiated and vascularized bowel loop without peristalsis. Slightly hyperechoic testis, testicular hydrocele.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: The right testicle is increased in echogenicity and is slightly larger (in comparison to the left testicle), although the echostructure is homogenic and has a smooth margin.




    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: No evidence of perfusion in the slightly enlargend and hyperechogenic right testicle (with a good presentation of the color dopper signal in the left testicle / with identical parameters). Testicular hydrocele on the right.




    Ultrasound 4 <- view Ultrasound 4

    Ultrasound 4: 1/2 hour after manually reposition of the bowel loop. Similar echogenicity and size of both testicles. In the color doppler mode, there was somewhat increased perfusion of the testicular parenchyma on the right side (clearly reactive). Right testicular hydrocele is decreasing in size.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Testicular torsion, incarcerated hernia  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Uncomplicated nonoperative reposition of the inguinal hernia, subsequent improvement of perfusion and regression of the hydrocele.  

     
     Pediatric Radiology CasesComments of the author about the case:

    After sonographic diagnosis followed the nonoperative reposition. Interestingly, a diminished testicular perfusion may also happen in a not incarcerated inguinal hernia. After reposition of the hernia followed a normalisation of the previously diminshed perfusion of the testis.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Hernandez-Richter T, Meyer G, Schardey HM, Rau HG, Schildberg FW.
    Transabdominal preperitoneal hernia repair (TAPP).
    Results of 1,000 completed operations
    Zentralbl Chir. 1999;124(7):657-63.[Article in German]

    2. Medline: Medline
    Kupczyk-Joeris D, Kalb A, Hofer M, Toens C, Schumpelick V.
    Doppler sonography of testicular circulation following reconstruction of inguinal hernia
    Chirurg. 1989 Aug;60(8):536-40.  

     
     Pediatric Radiology CasesKeywords:

    Inguinal hernia, non incarcerated, Incarceration, hernia incarceration, decreased testicular perfusion, not incarcerated ingunial hernia, testicular torsion, testes, groin, hernia, testicular perfusion, hyperechogenicity, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    D Weber. Inguinal hernia (non incarcerated) with testicular hypoperfusion. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040106222620  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Pelvis-Testis
    or in the region: Pelvis
    or in the tissue/organ: Testis
    or with the etiology: circulatory
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Inguinal hernia (non incarcerated) with testicular hypoperfusion
    D Weber. Inguinal hernia (non incarcerated) with testicular hypoperfusion. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040106222620


     

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    Inguinal hernia (non incarcerated) with testicular hypoperfusion
    Other cases by these authors:

    Search D. Weber in Medline D. Weber (4)   

    Inguinal hernia (non incarcerated) with testicular hypoperfusion  
     
    Inguinal hernia (non incarcerated) with testicular hypoperfusion
    D Weber. Inguinal hernia (non incarcerated) with testicular hypoperfusion. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040106222620


     

    Which diagnosis have other collegues guessed?


    • Testicular torsion
      Votes: 0 (0 %)


    • Incarcerated hernia
      Votes: 1 (5 %)


    • Inguinal hernia with consecutive decreased testicular perfusion
      Votes: 15 (88 %)


    • Orchitis/Epidydimitis
      Votes: 1 (5 %)



        Total answers: 17

     
    Inguinal hernia (non incarcerated) with testicular hypoperfusion
    D Weber. Inguinal hernia (non incarcerated) with testicular hypoperfusion. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040106222620


     

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    Inguinal hernia (non incarcerated) with testicular hypoperfusion
    D Weber. Inguinal hernia (non incarcerated) with testicular hypoperfusion. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040106222620


     




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