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Bonnie Sun, MD; Ashkan Moazzez, MD; Rodney J. Mason, MD

Arch Surg. 2009;144(11):1085.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

An 84-year-old Latino man presented to the emergency department with a recent 3-day history of pain over a preexisting left inguinal hernia, which had been present for the past 5 years. The patient had been obstipated for 3 days but denied any other obstructive symptoms. On examination, his vital signs were stable and he had a soft, nondistended, nontender abdomen. There was an irreducible left inguinal bulge and a 15-cm mass in his left scrotum, both of which were tender to palpation. There were no overlying skin changes. Laboratory studies revealed leukocytosis (white blood cell count, 13 800/µL, with 85% neutrophils). A computed tomography scan was performed (Figure 1 and Figure 2).

Figure appears in full text version. Figure 1. Computed tomography scan of the left scrotum shows a large structure with an air-fluid level.

Figure appears in full text version. Figure 2. Computed tomography scan of the left scrotum using . . . [Full Text of this Article]

What Is the Diagnosis?

Author Affiliations: Department of Surgery, University of Southern California Keck School of Medicine, Los Angeles.

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Arch Surg. 2009;144(11):1086.
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