Testicular Torsion Due to Right Inguinoscrotal Hernia with Ipsilateral Omental Wrap in an 11-Year-Old Boy. Case Report

Case Presentation: An 11-year-old male presented with acute right testicular pain of several hours duration.Clinical suspicion of testicular torsion prompted an emergency scrotal Doppler ultrasound, revealing a testicle with increased volume and edematous epididymis.The spermatic cord was twisted with vascular congestion and a reactive hydrocele with particulate material were noted.The testis was markedly tender to palpation.The patient exhibited no systemic symptoms, and abdominal examination was unremarkable.Urgent surgery was performed, revealing an inguinal hernia with a substantial amount of omentum without sign of inflammation enveloping and adherent to the testicle, which was also torted to 180 degrees on its axis. Conclusion:This presentation raises the question of whether testicular torsion occurred first, followed by omental incarceration, or if the omentum prevented complete testicular rotation.