Duodenal rupture due to giant inguinal hernia: A case report

Abstract

HighlightsGiant inguinal hernia is unusual and rarely encountered in modern clinical practice.Retraction of its third portion into the hernia sac can perforate the duodenum.Emergency surgery of these hernias is difficult due to postoperative complications.

A case report of a gastric perforation in a giant inguinoscrotal hernia: A two-step approach

“…The bowel was not strangulated as well. Ishii et al [2] describe a similar mechanism in their report of a duodenal perforation secondary to a giant inguinal hernia. This was probably as well the case in the report of gastric perforation by Fitz et al [7] where the entire bowel was found to be viable.…”

“…This was probably as well the case in the report of gastric perforation by Fitz et al [7] where the entire bowel was found to be viable. Most morbidities and mortalities reported in the literature were related to the complications that are secondary to the acute increase in intra-abdominal pressure after placing the hernia content back in the abdomen during a concomitant hernia repair [2,3].…”

“…It is an uncommon condition and rarely encountered in clinical practice. Severe complications such as duodenal [[2], [3], [4], [5]] and gastric [[6], [7], [8]] perforation have been reported with high morbidity and mortality rate. In line with the SCARE criteria [9], we are presenting a case report of a gastric perforation in a giant inguinoscrotal hernia which was managed surgically in a two-step approach.…”

Acute Scrotal Abdomen: An Epitome of Negligence in Rural India

“…The mesentery, small bowel, appendix, caecum, colon, kidney, ureter, and bladder are all possible contents of a hernia sac. Strangulation, obstruction, and perforation can occur in irreducible hernias [ 6 - 10 ]. Moreover, constant downward pressure can cause perforation [ 6 ].…”

“…Strangulation, obstruction, and perforation can occur in irreducible hernias [ 6 - 10 ]. Moreover, constant downward pressure can cause perforation [ 6 ]. A loss of domain is also common in this form of hernia, necessitating a multidisciplinary approach during treatment.…”