RT Journal
A1 CLOUGH FE
T1 AN unusual strangulated inguinal hernia
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1909
FD October 30
VO LIII
IS 18
SP 1482
OP 1482
DO 10.1001/jama.1909.92550180039002a
UL http://dx.doi.org/10.1001/jama.1909.92550180039002a
AB History. 
    —J. T., aged 17, had had an undescended testicle in the lower end of the right inguinal canal since a baby without producing any symptoms. On July 13, while walking along a railroad track he stumbled and fell forward. In attempting to catch himself he felt something give way in the right inguinal region, but after resting for a few minutes, during which time he vomited once, he was able to walk to his home half a mile away. During the next two hours he vomited several times and had a great deal of pain in the region of the undescended testicle which had increased to twice its normal size. When seen three hours after the injury a diagnosis of strangulated hernia was made and an unsuccessful attempt made to reduce it under anesthesia. Immediate operation was then performed.