Appendicitis Within an Incarcerated Inguinal Hernia Presenting as Acute Testicular Pain: A Case Report.

Abstract

Testicular pain is a common complaint in emergency departments, with a wide range of underlying pathologies. Incarcerated inguinal hernias are an emergent and often overlooked cause of testicular pain, necessitating prompt diagnosis and management. These cases can be complex, especially when the hernia contents obscure the clinical picture. Here, we present the case of a 34-year-old male patient who presented with testicular pain and swelling, ultimately diagnosed with appendicitis within the scrotum. This appendicitis led to an incarcerated inguinal hernia requiring emergent surgical intervention. The patient had an uneventful postoperative course and remained well at the two-month follow-up.