A case of strangulated inguinal hernia in a 37–day-old infant

Abstract

This would not necessarily relieve any extrinsic pressure on neighbouring viscera although allowing drainage.One disturbing feature is the presence of a blind oesophageal pouch opening into the stomach. T h e fact that there was at one time free regurgitation indicates that there may be a risk of peptic oesophagitis.As the p H of the gastric juice increases this becomes more likely.Surgical excision of the accessory lower oesophagus can be carried out if necessary through a thoracoabdominal approach. Opening of both cavities would give a better view of the lower end of the blind oesophagus and also would allow a n inspection of the present state of the gastric duplication.Further surveillance of this case will be necessary, particular points to be looked for being anamia, upper abdominal pain, or dysphagia. SUMMARYA case of duplication of the lower oesophagus, stomach, and duodenum is reported. T h e embryological basis for it is discussed and the method of treatment briefly analysed.

Strangulated Inguinal Hernia in the Neonatal Period

“…Clatworthy (1954) also found no case of gangrenous bowel in 134 cases, but 2 black testicles which biopsy showed to be necrotic, and 3 other testicles were later found to have atrophied. Bhatti (1963) reported a single instance of gangrenous intestinal perforation and a gangrenous testicle. Sloman and Mylius (1958) observed 7 infarcted testicles amongst their series of 23 strangulated hernias in infants less than 3 months old.…”