PDF(Pubmed)
Abstract：
UNASSIGNED: Hernias are one of the commonest procedures performed by general surgeons. Irreducibility, intestinal obstruction, and strangulation are common outcomes of a groin hernia when there is disregard and a delay in elective surgery. Studies have shown a considerable incidence of these hernia complications, along with the associated morbidity and death, because of delayed presentation. Testicular gangrene following incarcerated hernias is a rare entity in the adult population.
METHODS: Here we present a case of a 30-year-old male presented with gangrenous vanished testis, perforated ileum and necrotizing fasciitis of the right groin after a neglected strangulated right inguinal hernia.
UNASSIGNED: Testicular infarction/gangrene is most commonly secondary to testicular torsion, an emergency that teenagers frequently experience. When it complicates inguinal hernia, it typically results in ischemia, infarction, and gangrene due to compression and impairment of the vascular supply within the inguinal canal. In cases like our where there is a necrotizing process in the groin, we feel it\'s appropriate to approach from the abdomen and do the resection first and proceed with the radical debridement after that.
CONCLUSIONS: Early diagnosis and intervention with emergency surgery are crucial for strangulated inguinal hernia and prevents unnecessary escalation of the problem with progressive infectious and necrotic destruction of adjacent tissues.
METHODS: Here we present a case of a 30-year-old male presented with gangrenous vanished testis, perforated ileum and necrotizing fasciitis of the right groin after a neglected strangulated right inguinal hernia.
UNASSIGNED: Testicular infarction/gangrene is most commonly secondary to testicular torsion, an emergency that teenagers frequently experience. When it complicates inguinal hernia, it typically results in ischemia, infarction, and gangrene due to compression and impairment of the vascular supply within the inguinal canal. In cases like our where there is a necrotizing process in the groin, we feel it\'s appropriate to approach from the abdomen and do the resection first and proceed with the radical debridement after that.
CONCLUSIONS: Early diagnosis and intervention with emergency surgery are crucial for strangulated inguinal hernia and prevents unnecessary escalation of the problem with progressive infectious and necrotic destruction of adjacent tissues.
摘要：
■疝是普通外科医生最常见的手术之一。不可约性，肠梗阻,当择期手术被忽略和延迟时，绞窄是腹股沟疝的常见结果。研究表明，这些疝气并发症的发生率相当高，以及相关的发病率和死亡率，因为延迟演示。嵌顿疝后的睾丸坏疽在成年人群中很少见。
方法：这里我们介绍一例30岁的男性，表现为睾丸坏疽消失，被忽视的绞窄右腹股沟疝后，回肠穿孔和右腹股沟坏死性筋膜炎。
■睾丸梗塞/坏疽最常见于睾丸扭转，青少年经常经历的紧急情况。当它使腹股沟疝复杂化时，它通常会导致局部缺血，梗塞,和坏疽由于压缩和受损的血管供应在腹股沟管。在像我们腹股沟有坏死过程的情况下，我们认为从腹部入路，先进行切除，然后再进行根治性清创是合适的。
结论：早期诊断和急诊手术干预对于绞窄性腹股沟疝至关重要，并可防止相邻组织进行性感染和坏死性破坏问题的不必要升级。
方法：这里我们介绍一例30岁的男性，表现为睾丸坏疽消失，被忽视的绞窄右腹股沟疝后，回肠穿孔和右腹股沟坏死性筋膜炎。
■睾丸梗塞/坏疽最常见于睾丸扭转，青少年经常经历的紧急情况。当它使腹股沟疝复杂化时，它通常会导致局部缺血，梗塞,和坏疽由于压缩和受损的血管供应在腹股沟管。在像我们腹股沟有坏死过程的情况下，我们认为从腹部入路，先进行切除，然后再进行根治性清创是合适的。
结论：早期诊断和急诊手术干预对于绞窄性腹股沟疝至关重要，并可防止相邻组织进行性感染和坏死性破坏问题的不必要升级。
