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June 7, 1913


Author Affiliations

New Haven, Conn.

JAMA. 1913;60(23):1783. doi:10.1001/jama.1913.04340230029015

Torsion of the spermatic cord, a fairly rare condition, was first described by Delasiauve in 1840. Scudder in 1901 published the report of a case1 and reviewed the thirty-one other cases that had been reported in the literature up to that time. No doubt many cases have been reported since but I have been able to find the records of only fifty-four cases, most of them in the foreign literature. Many cases are probably overlooked as the patients recover spontaneously, and some are probably operated on for strangulated inguinal hernia, as were the patients in some of the reported cases. The rarity of the condition and the difficulty of differentiating it, in diagnosis, from strangulated inguinal hernia lead me to report the following case.

Patient  —H. H., boy, aged 15, was seen March 21, 1912, at 4 p. m. He complained of severe pains in the right groin, which