{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:48Z","timestamp":1756425828314,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,10,11]]},"abstract":"<jats:p>Testicular torsion and acute incarcerated inguinal hernia are both common surgical emergencies in the paediatric population. We present the unusual case of a 16-year-old adolescent boy who presented with both of these conditions concurrently. He had a history of a right inguinal hernia, but ultrasound confirmed a testicular torsion and we employed manual detorsion in the emergency department prior to taking him to the operating room. We successfully salvaged the testicle in addition to performing inguinal hernia reduction and repair. The goal of this report is to emphasise the importance of maintaining a broad differential and early utilisation of ultrasound in the patient with acute groin pain.<\/jats:p>","DOI":"10.1136\/bcr-2018-227087","type":"journal-article","created":{"date-parts":[[2018,10,27]],"date-time":"2018-10-27T05:27:59Z","timestamp":1540618079000},"page":"bcr-2018-227087","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Concurrent testicular torsion and acute incarcerated inguinal hernia in an adolescent boy"],"prefix":"10.1136","volume":"2018","author":[{"given":"Darren","family":"Nisly","sequence":"first","affiliation":[{"name":"Surgery, Henry Ford Allegiance Health, Jackson, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Barnett","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Dayton Children\u2019s Hospital\/Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Herzing","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Dayton Children\u2019s Hospital\/Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arturo","family":"Aranda","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Dayton Children\u2019s Hospital\/Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,10,27]]},"reference":[{"key":"2025082802213979000_2018.oct25_2.bcr-2018-227087.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.joad.2015.06.017","article-title":"A review of main controversial aspects of acute testicular torsion","volume":"5","author":"\u00c1M","year":"2016","journal-title":"Journal of Acute Disease"},{"key":"2025082802213979000_2018.oct25_2.bcr-2018-227087.2","doi-asserted-by":"crossref","first-page":"516.e1","DOI":"10.1016\/j.jpurol.2017.03.030","article-title":"Testicular torsion: a retrospective investigation of predictors of surgical outcomes and of remaining controversies","volume":"13","author":"Casta\u00f1eda-S\u00e1nchez","year":"2017","journal-title":"J Pediatr Urol"},{"key":"2025082802213979000_2018.oct25_2.bcr-2018-227087.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2008.01727.x"},{"key":"2025082802213979000_2018.oct25_2.bcr-2018-227087.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)63987-0"},{"key":"2025082802213979000_2018.oct25_2.bcr-2018-227087.5","doi-asserted-by":"crossref","unstructured":"Azarow KS , Cusick RA , Martin RF , et al . 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