Small bowel perforation due to blunt trauma to an inguinal hernia: a case report and literature review

Gastric and duodenal inflammation and ulceration are well-known complications of nonsteroidal anti-inflammatory (NSAID) usage. However, small bowel ulceration and perforation secondary to NSAID use is uncommon and has rarely been reported in the literature. We describe a perforated jejunal ulcer that developed in a patient using indomethacin for treatment of ankylosing spondylitis. We performed a literature review of NSAID-induced small bowel injury and compared the histology of NSAID-related injury with more familiar causes of small bowel perforation.

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Small Bowel Perforation Secondary to Metastatic Lung Cancer: A Case Report with Literature Review

Visceral Medicine ◽

10.1159/000092950 ◽

2006 ◽

Vol 22 (2) ◽

pp. 92-94 ◽

Cited By ~ 1

Author(s):

Tsai-Wang Huang ◽

Chih-Hsin Wang ◽

Wen-Chiuan Tsai ◽

Yao-Chi Liu

Keyword(s):

Lung Cancer ◽

Case Report ◽

Small Bowel ◽

Literature Review ◽

Bowel Perforation ◽

Metastatic Lung Cancer ◽

Small Bowel Perforation ◽

Metastatic Lung

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Small Bowel Perforation Due to Blunt Trauma of Left Leg With an Incarcerated Inguinal Hernia: A Case Report

Frontiers in Surgery ◽

10.3389/fsurg.2021.710417 ◽

2021 ◽

Vol 8 ◽

Author(s):

Jianli Shao ◽

Long Sun ◽

Qinghui Fu

Keyword(s):

Inguinal Hernia ◽

Small Bowel ◽

Blunt Trauma ◽

Abdominal Trauma ◽

Bowel Perforation ◽

Blunt Injury ◽

Trauma Patients ◽

Small Bowel Perforation ◽

Incarcerated Inguinal Hernia ◽

Histologic Pattern

We report a rare case of a 77-year-old man with a known left inguinal hernia presenting with groin pain following a blunt trauma of the left leg. Diagnosis of small bowel perforation away from the hernia was obtained only in surgery. Difficulty in preoperative diagnosis, rarity of histologic pattern, and surgical challenges make this case very interesting for surgeons and radiologists. Our conclusion upon dealing with the situation is that the diagnosis of small bowel perforation following blunt injury to a non-abdominal trauma is rare and difficult. The association between inguinal hernia and non-abdominal trauma may result in small bowel injuries that normally do not appear. Therefore, clinicians should be cautious in treating non-abdominal trauma patients with inguinal hernias.

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Bowel obstruction and perforation secondary to barbed suture after minimally invasive inguinal hernia repair: report of two cases and literature review

Surgical Case Reports ◽

10.1186/s40792-021-01249-w ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Liming Wang ◽

Taku Maejima ◽

Susumu Fukahori ◽

Shoji Nishihara ◽

Daitaro Yoshikawa ◽

...

Keyword(s):

Small Intestine ◽

Inguinal Hernia ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Bowel Perforation ◽

Barbed Suture ◽

Small Bowel Perforation ◽

Peritoneal Closure ◽

Pubmed Database

Abstract Background Laparoscopic transabdominal preperitoneal patch (TAPP) is now commonly used in the repair of inguinal hernia. Barbed suture can be a fast and effective method of peritoneal closure. We report two rare cases of small bowel obstruction and perforation caused by barbed suture after TAPP. Cases Patient 1 is a 45-year-old man who underwent laparoscopic repair of a right inguinal hernia. Barbed suture was used to close the peritoneal defect. At 47 days after the operation, he was diagnosed with a small bowel obstruction caused by an elongated tail of the barbed suture. Emergency laparoscopic exploration was performed for removal of the embedded suture and detorsion of the volvulus. The second patient is a 50-year-old man who was admitted with a small bowel perforation one week after TAPP herniorrhaphy. Emergency exploration revealed that the tail of the barbed suture had pierced the small intestine, causing a tiny perforation. After cutting and releasing the redundant tail of the barbed suture, the serosal and muscular defect was closed with 2 absorbable single-knot sutures. Both patients have recovered well. Finally, we searched the PubMed database and reviewed the literature on the effectiveness and safety of barbed suture for TAPP. Conclusions Surgeons should understand the characteristics of barbed suture and master the technique of peritoneum closure during TAPP in order to reduce the risk of bowel obstruction and perforation.

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