Obstructed direct inguinal hernia: A rare encounter

Mohanty, Sudhir Kumar; Jena, Kumarmani; Mahapatra, Tanmaya; Dash, Jyoti Ranjan; John, Ajax; Meher, Dibyasingh

doi:10.5348/ijcri-2016106-cr-10694

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…In this case report, the ultrasound findings were suggestive of obstructed strangulated inguinal hernia with a gangrenous bowel segment and Xray abdomen revealed air fluids level. Other imaging modalities, such as computed tomography (CT) scans, can help confirm the diagnosis and assess the extent of bowel ischemia [1,4] . Strangulated inguinal hernias require prompt surgical intervention to release and reduce the compromised contents, maintain anatomical continuity and repair the hernia defect.…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Case of a Strangulated Right Inguinal Hernia Containing the Caecum Managed with Desarda’s Repair

Verma

2023

jmscr

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Groin hernias are most common hernias in abdominal wall hernias (75%). 95% of groin hernias, are from inguinal canal and remaining area femoral hernias. Two-thirds of the inguinal hernias are indirect and remaining are direct inguinal hernia. An indirect inguinal hernia is the most common, regardless of gender and in men, indirect hernias predominate over direct hernias at a ratio of 2:1. Direct hernias are uncommon. Strangulated external hernia is a relatively common serious surgical emergency. In these approximately 50% of cases involves small bowel obstruction and accounts for most of the deaths from this condition. Presenting a case of 64-year gentleman diagnosed with strangulated right inguinal hernia, managed with urgent surgery and underwent right hemicolectomy with Desarda’s repair in view of gangrenous caecum. This case report underscores the clinical presentation and prompt surgical management of an unusual case of a strangulated right inguinal hernia containing the cecum, entailing both hernia repair and right hemicolectomy. The Desarda’s technique was chosen as the hernia repair method which focuses on autologous tissue repair. Keywords: Strangulated hernia, Desarda’s repair, right hemicolectomy, ileo-transverse anastomosis, small bowel obstruction.

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Section: Discussionmentioning

confidence: 99%

“…An indirect inguinal hernia is the most common, regardless of gender and in men, indirect hernias predominate over direct hernias at a ratio of 2:1. Direct hernias are uncommon [1] . In emergency hernial repair, mortality rates are higher as compare to elective repair.…”

Section: Introductionmentioning

confidence: 99%

An Unusual Case of a Strangulated Right Inguinal Hernia Containing the Caecum Managed with Desarda’s Repair

Verma

2023

jmscr

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“…Schwannomas, like GIST, leiomyomas and leiomyosarcomas are mesenchymal tumors. The most common site of appearance in the gastrointestinal tract is the stomach, but they are very rare and account only for 0.2% of all gastric tumors [2,3]. They occur more frequently in the fifth or sixth decades of life, with a female predominance.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Central Gastrectomy for a Gastric Schwannoma: Case Report

Coturel¹,

Quesada²

2020

SCR

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Introduction: Schwannomas are tumors originating from any peripheral nerve that rarely arise in the stomach. Presentation of Case: A 77-year-old woman with nonspecific epigastric pain. EGD reveals a submucosal bulge on the anterior wall of the gastric body. EUS showed a heterogeneous mass compatible with GIST. We performed a laparoscopic central gastrectomy because a wedge resection wasn’t possible for the tumor localization. Biopsy reveals it was a Schwannoma. Discussion: Gastric Schwannomas are atypical mesenchymal gastric tumors that usually have non-specific symptoms. Preoperative workup is made by EGD, EUS and CT but, commonly those methods couldn’t do the differential diagnosis with GIST. Surgery is the treatment. Because it is not necessary to perform a lymphadenectomy, the type of gastrectomy could be choosing within total, distal, wedge or atypical resection, depending tumor size and location. There are not publications about central gastrectomy for GS. Therefore, we decided to present this patient with a CG for GS, that showed good outcomes. Conclusion: Central gastrectomy is an available option for Gastric Schwannomas when lateral or wedge resection couldn’t be performed.

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“…1 We are reporting a case of strangulated and incarcerated recurrent direct inguinal hernia in a 65 years old male patient where necrosis was present in middle of the hernia content (ileum). 2 Necrosis and perforation was also present in intra-peritoneal part of intestine this is very unusual complication of strangulated direct inguinal hernia. No any such case of complicated direct inguinal hernia had been reported till now where there is perforation of intraperitoneal part of small intestine but no gas under diaphragm in X-Ray abdomen erect.…”

Section: Introductionmentioning

confidence: 99%

Strangulated direct inguinal hernia with intraperitoneal perforation

Bakhteyar¹,

Kumar²,

Kumar³

2017

Int Surg J

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Usually direct inguinal hernia doesn’t present as strangulation or incarceration as compared to indirect inguinal hernia because of earlier has wider neck. A patient of recurrent direct inguinal hernia presents as intra-scrotal gangrene and intra-peritoneal perforation. We reported a case of 65 years old male presented with septicemia and right sided strangulated direct hernia. On exploration through inguino scrotal incision and mid line laparotomy, gangrenous loop was found in scrotum and perforation was found in intra-peritoneal part of small intestine. Resection-anastomosis was done for both the parts of intestine. Inguinal Incision was closed by posterior wall closure and modified Bassini’s herniorraphy. Abdomen was closed in layers with brain. Long standing direct hernia may present as strangulation or incarceration specially in elderly but perforation and gangrene of intra-peritoneal part of small intestine is very rare.

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Obstructed direct inguinal hernia: A rare encounter

Cited by 3 publications

References 5 publications

An Unusual Case of a Strangulated Right Inguinal Hernia Containing the Caecum Managed with Desarda’s Repair

An Unusual Case of a Strangulated Right Inguinal Hernia Containing the Caecum Managed with Desarda’s Repair

Laparoscopic Central Gastrectomy for a Gastric Schwannoma: Case Report

Strangulated direct inguinal hernia with intraperitoneal perforation

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