Type of Article: Case Report
Year: 2016 | Volume 4 | Issue 3 | Page No. 2630-2633
Date of Publication: 31-08-2016
DOI: http://dx.doi.org/10.16965/ijar.2016.260
A CASE REPORT ON SCROTAL HERNIATION AND ITS VARIATIONS
D. Krupa Daniel * 1, Roja Nayak 2, Prasanjeet Swain 3, Jianqiang Qin 4.
*1 Associate Professor Of Anatomy, Southern Medical University, Guangzhou P.R, China.
2MBBS 2nd Year, Southern Medical University, Guangzhou P.R, China.
3 MBBS3rd Year, Southern Medical University, Guangzhou P.R, China.
4 Professor Of Anatomy, Southern Medical University, Guangzhou P.R, China.
Address: Dr.D.Krupa Daniel, Associate Professor of Anatomy, Southern Medical University, Guangzhou P.R, China. Phone no.: +86-15626441489
E-Mail: danielkrupa1309@gmail.com
ABSTRACT
Background: The scrotum is an anatomical male reproductive structure that consists of a suspended sack of skin and smooth muscle that is dual-chambered located under the penis. One testis is typically lower than the other, which functions to avoid compression in the event of impact. The scrotum contains the external spermatic fascia, testes, epididymis, ductus deferens. It is a distention of the perineum and carries some abdominal tissues into its cavity including the testicular artery, testicular vein and pampinform plexus. Structures passing through are spermatic cord or round ligament of uterus enters through the deep inguinal ring & Structures passing through are spermatic cord or round ligament of uterus, Ilio-inguinal nerve.
Materials and Methods: Presenting variations were found at the department of anatomy, Southern Medical University, Guangzhou P.R, China, during our routine Anatomy dissections.
Discussion: The anatomic arrangement of muscular and fascial layers in the lower abdomen makes this area a site of potential weakness with possible development of inguinal hernias. Passage through this region by the vas deferens and spermatic vessels in the male and by the round ligament in the female makes the area more vulnerable to hernia protrusions. Inguinal or groin hernias may be congenital, exiting along the spermatic cord or round ligament as "indirect hernias," or may occur due to weakness of the transversalis fascia, producing "direct hernias." In our regular dissection course we found with an peculiar absence of penoscrotal raphe which has appeared as an single chambered scrotum with unified penis as absence of left corpora cavernosa & only presence of right corpora cavernosa and corpus spongiosum. The single chambered scrotum which was been herniated with the coils of intestines especially with terminal ileum & appendix with its omenta also peculiarly found with the absence of left side testis & its spermatic cord
Conclusion: Present study we found the fallowing variations i.e. complete absence of left side testis & its spermatic cord, Single chambered scrotum with right testis only & herniated content, Absence of median raphe, Inguinal herniation should occur on right side but looping over towards the left side scrotal sac with the terminal ileum, vermiform appendix and its mesentry.
Key words: Scrotum, Testis, Direct Hernia, Indirect Hernia, Median Raphe.
REFERENCES
- www.healthline.com/human-body-maps/scrotum
- Kjaer S., Mikines K.J. HCG in the treatment of cryptorchidism. The effect of age and position of the testis. Ugeskr Laeger. 2006;168(April (14)):1448–1451.
- Primary Surgery: Volume One: Non-trauma – Chapter-7,Hernias
- Walker HK, Hall WD, Hurst JW, editors.Boston. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Butterworths; 1990.
- Inguinal hernias - BMJ 2008; 336 doi: http://dx.doi.org/10.1136/bmj.39450.428275.AD
- http://clinanat.com/mtd/179-hesselbachs-triangle
- Condon RE, Nyhus LM. Complications of groin hernia and of hernia repair. Surg Clin N Am. 1971;51:1325–36
- Nyhus LM, Harkins HN. Hernia, 2d ed. Philadelphia: Lippincott, 1964.
- Zimmerman LM, Anson BJ. Anatomy and surgery of hernia. Baltimore: Williams and Wilkins, 1967.
- Undescended (missing) testicle(s) - Seminars in Pediatric Surgery 2010;19:215-24.
- Peno-Scrotal Raphe Absence & Its Herniation,April 2016- The FASEB Journal 2016;30(1):1046.6.
D. Krupa Daniel, Roja Nayak, Prasanjeet Swain, Jianqiang Qin. A CASE REPORT ON SCROTAL HERNIATION AND ITS VARIATIONS. Int J Anat Res 2016;4(3):2630-2633. DOI: 10.16965/ijar.2016.260
