Indirect Inguinal Hernia Causing Testicular Ischemia: A Case Report

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.