Testicular Necrosis, Incarcerated Inguinal Hernia vs. Testicular Necrosis, Torsion in Cryptorchidism
Left picture: As sequel of an incarcerated inguinal hernia a testicular necrosis has occurred. Right picture: Here, the necrosis of the testis has occurred in a cryptorchidism. Both types of testicular necrosis are typical results of congenital anomalies which have not been treated on time.
In both patients a nearly black testis was present at inguinoscrotal revision without arterial bleeding following incision of the tunica albuginea. In both patients the indication for the groin revision was a painful inguinoscrotal swelling. Left picture: This patient had prior to surgery clinical signs of an obstructive ileus. Right picture: The parents reported about this patient that the testicle was never seen in the scrotum of the currently involved side.