Taylor, Gregory M.Strachan, Christian C.2022-05-262022-05-262021-02-16Taylor GM, Strachan CC. Functional testicular torsion secondary to an incarcerated inguinal hernia in a 4-month old: complete recovery at 18-hours. J Surg Case Rep. 2021;2021(2):rjab022. Published 2021 Feb 16. doi:10.1093/jscr/rjab022https://hdl.handle.net/1805/29155One of the most common urological emergencies encountered in pediatric patients in the emergency department (ED) is the acute scrotum. We present the case of a 4-month-old male that presented to our community ED with scrotal swelling and vomiting of 16-hours duration. He was diagnosed with a functional testicular torsion from an incarcerated inguinal hernia, transferred to a hospital with pediatric urological capabilities and was taken to the operating room ~2 hours later. His hospital course was unremarkable, and he was discharged on day 3, having made a full recovery without any loss of bowel or testicle. There have only been a handful of cases in the literature of a pediatric patient presenting with a functional testicular torsion as a result of spermatic cord compression from an indirect inguinal hernia, with no reported cases of complete salvage at nearly 18 hours since symptom onset.en-USAttribution 4.0 InternationalUrological emergenciesAcute scrotumSpermatic cord compressionArticle