Introduction. Surgical repair of inguinal hernias is among the most commonly performed procedures in general surgery. Despite the high volume of operations performed annually, urological complications following this procedure remain underreported. Testicular torsion is one of the most frequent causes of an acute scrotum; however, it is rarely considered a postoperative complication, which may delay diagnosis and subsequently increase the risk of testicular loss. Case Report. We present the case of a 47-year-old male who was admitted to the Emergency Department with scrotal pain occurring three days after an elective right-sided inguinal hernia repair. Physical examination and scrotal color Doppler ultrasonography were performed, after which urgent surgical exploration was indicated. Intraoperatively, a 360o intravaginal torsion of the right spermatic cord was identified, with no restoration of blood flow following detorsion. Based on intraoperative findings, a right-sided orchiectomy was performed. The diagnosis was subsequently confirmed by histopathological examination. Conclusion. Although postoperative symptoms may be nonspecific and misleading, clinicians should maintain a high level of suspicion for possible urological complications after inguinal hernia repairs. Delayed recognition can significantly impact a patient?s quality of life and may result in considerable medico-legal consequences. Early identification and prompt management are thereof essential.
Dimitrić et al. (Wed,) studied this question.