2020
DOI: 10.7759/cureus.12181
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Small Bowel Perforation as a Consequence of Strangulated Direct Inguinal Hernia

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Cited by 3 publications
(6 citation statements)
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“…One such case involved a life threatening bowel perforation, secondary to ischemic necrosis, which required emergent resection of the necrotic bowel. 16 In addition, incarcerated direct hernias have also been reported as the cause of acute bowel obstruction. 8 Moreover, a complicated direct inguinal hernia containing the urinary bladder has led to obstructive uropathy presenting with severe acute kidney failure, requiring emergency surgery and dialysis.…”
Section: Discussionmentioning
confidence: 99%
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“…One such case involved a life threatening bowel perforation, secondary to ischemic necrosis, which required emergent resection of the necrotic bowel. 16 In addition, incarcerated direct hernias have also been reported as the cause of acute bowel obstruction. 8 Moreover, a complicated direct inguinal hernia containing the urinary bladder has led to obstructive uropathy presenting with severe acute kidney failure, requiring emergency surgery and dialysis.…”
Section: Discussionmentioning
confidence: 99%
“…Content Sherif Monib et al 2020 58-year-old man with a direct strangulated hernia, complicated with a small bowel perforation. Jacob Levi et al 2020 72-year-old man presenting with hematuria, urinary retention and severe acute kidney failure who was diagnosed with a direct incarcerated hernia containing the urinary bladder.…”
Section: Authormentioning
confidence: 99%
“…These comorbid risk factors include obesity, female sex, multiparity in females, chronic cough, chronic constipation, and previous abdominal surgery [1,[3][4][5][6][7]. Complicated inguinal hernias warrant comprehensive assessment, often requiring multi-disciplinary surgical intervention to reduce and repair the instigating herniation, manage consequent abdominal complications, address ischemic and necrotic tissue, and potentially revascularize salvageable tissue [3][4][5][6][7][8][9]. Lastly, consideration should be given to the surgical repair of sliding inguinal hernias, with an overall incidence of 6-8% in inguinal hernias.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, complex strangulated inguinal hernias present acutely with non-specific abdominal symptoms: lower abdominal pain, nausea and vomiting, warm and erythematous skin, and presenting indications of fever and sepsis [5][6][7]. Given the nature of complex inguinal hernia, additional clinical signs should be obtained to assess for secondary non-abdominal complications due to secondary vascular compromise [5][6][7][8][9]. Complex strangulated inguinal hernia often requires emergent surgical intervention with multidisciplinary surgical support to correct these associated complications [7,9,11].…”
Section: Discussionmentioning
confidence: 99%
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