The frequency and intensity of persistent chronic pain or discomfort after inguinal hernia repair was not high or severe. These data will be useful for further studies to determine the best treatment for adult inguinal hernia.
We read with great interest the article by Kaya B. et al.(1) (Turk J Gastroenterol 2014; 25: 426-8) entitled "Pneumatosis cystoides intestinalis mimicking acute abdomen". The authors reported a case of pneumatosis cystoides intestinalis (PCI) with pneumoperitoneum.They insisted that uncomplicated PCI can be safely managed conservatively but that bowel necrosis, perforation, or persistent obstruction should be treated with surgery. We agree with their strategy for treating PCI, but little is known about long-term outcomes after conservative therapy. We present a case of PCI with pneumoperitoneum secondary to sigmoid volvulus following one year of follow-up.A 91-year-old female visited our hospital with complaints of high fever and abdominal pain. She was diagnosed as having acute pyelonephritis and PCI, which was incidentally diagnosed in the computed tomography (CT) scan that revealed a dilated colon and numerous cystic gas (Figure 1,2). Acute pyelonephritis improved with conservative therapy using antibiotics, and PCI disappeared. Then, she was followed up as an outpatient. Thirteen months later, she presented to our hospital again with complaints
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