A case of left inguinal hernia with incarcerated iliocecum

We report a case of femoral hernia with an incarcerated transverse colon in an elderly patient. A 92-year-oldwomanvisitedanotherhospitalwithacomplaintofanorexiaandwasreferredtoourhospital withadiagnosisoffemoralhernia.AnabdominalCTrevealedthatthetransversecolonwasincarcerated intherightinguinalregion,whiletheoralsideoftheintestinewasdilatedfromthesameregion.Since theherniacouldnotbereducedbymanipulation,anemergencyoperationwasperformedundergeneral anesthesia.Thepresenceofafist-sizedherniasacthatwaslocatedcaudaltotheinguinalligamentledto adiagnosisoffemoralhernia.Thehernialcontentswerethetransversecolonandomentum.Anabsence ofnecrosiswasnoted,andsubsequently,thetransversecolonwasrepositionedintotheabdominalcavity through an additional incision in the lower abdomen. The hernia sac was ligated, and a flat mesh was placedinthepreperitonealspaceandfixedtotheCooper'sligament.Aseromawasdiscoveredaftersur-gery；however,thepatientwasdischargedhomeonthe21stpostoperativeday.

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A Case of Amyand’s Hernia with Abscess Diagnosed by Computed Tomography Preoperatively

Hara¹,

Tachikawa²,

Sato³

2017

JJCS

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A 64-year-old woman presented with pain and swelling of the right lower abdomen. Abdominal enhanced computed tomography showed an abscess in the right inguinal canal extending from the cecum to the abdominal wall. Acute appendicitis with an abscess incarcerating into the right inguinal hernia, also called Amyandʼs hernia, was diagnosed. Appendectomy and hernioplasty without prosthesis were performed as an emergency surgery. Gangrenous appendicitis was confirmed on pathological examination. The abscess in the right inguinal canal was complicated and required drainage during the postoperative course. The patient was discharged 27 days after the surgery.

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A case of left inguinal hernia with incarcerated iliocecum

Cited by 3 publications

References 6 publications

Incarcerated Amyand hernia: Previous warning signs on sonogram

Incarcerated Amyand hernia: Previous warning signs on sonogram

横行結腸が嵌頓した92歳大腿ヘルニアの1例

A Case of Amyand’s Hernia with Abscess Diagnosed by Computed Tomography Preoperatively

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