scholarly journals "An unfortunate trip": small bowel perforation in a patient with an undiagnosed inguinal hernia following minor blunt trauma

2009 ◽  
Vol 2009 (nov18 1) ◽  
pp. bcr0720092052-bcr0720092052
Author(s):  
E. Jolly ◽  
J. Bromilow ◽  
A. Wood
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Blunt Trauma ◽  
Bowel Perforation ◽  
Small Bowel Perforation

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

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.

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

Hernia ◽  
2010 ◽  
Vol 16 (3) ◽  
pp. 349-350 ◽  
Author(s):  
Y. Shahin ◽  
G. Sahota ◽  
A. Hotouras ◽  
A. Agarwal ◽  
G. Tierney
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Small Bowel ◽  
Literature Review ◽  
Blunt Trauma ◽  
Bowel Perforation ◽  
Small Bowel Perforation

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

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.

Small bowel perforation due to blunt trauma directly to the inguinal region: A case report

Hernia ◽  
2003 ◽  
Vol 7 (4) ◽  
pp. 218-219 ◽  
Author(s):  
M. Oncel ◽  
N. Kurt ◽  
M. Eser ◽  
I. Bahadir
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Blunt Trauma ◽  
Bowel Perforation ◽  
Inguinal Region ◽  
Small Bowel Perforation

scholarly journals Observational study of small bowel perforation in a tertiary care hospital

2017 ◽  
Vol 4 (8) ◽  
pp. 2746 ◽  
Author(s):  
Shashank Nahar ◽  
Alok Ranjan
Keyword(s):  
Peptic Ulcer ◽  
Small Bowel ◽  
Observational Study ◽  
Blunt Trauma ◽  
Clinical Presentation ◽  
Bowel Perforation ◽  
Peptic Ulcer Perforation ◽  
Care Hospital ◽  
Small Bowel Perforation ◽  
Study Region

Background: Perforation of the small intestine causing peritonitis is the most common abdominal surgical emergency encountered in study region. Late presentations with sepsis and septic shock makes evaluation and management of these patients a formidable surgical challenge. The aim of this study was to identify the etiologies, clinical presentation, diagnostic dilemmas and modalities of treatment of the small bowel perforation of diverse etiology in this study region. Objective was to study the demography, etiology, pathology, clinical presentation and various surgical procedures in treatment of small bowel perforation in hospital.Methods: This study was a prospective observational study conducted in the department of general surgery Rohilkhand medical college Bareilly, Uttar Pradesh, India from November 2015 to December 2016. 90 patients admitted in the emergency of this hospital who eventually turned out to be those of small bowel perforation were included in this study and an analysis of the demographic data, clinical presentations, radiological findings, site of perforation, surgical procedure performed, surgical complications and duration of hospital stay was done.Results: Duodenal perforation was the commonest cause of small bowel perforation, contributing to 51 (56.66%) patients. Peptic ulcer disease accounted for 49 (96.07%) patients and blunt trauma abdomen for 2 (3.9%) of these patients.  Jejunal perforations accounted for 9 (10%) patients and ileal perforations for 30 (33.34%) patients. Typhoid fever was the commonest cause of ileal perforation in 24 (80%) patients Blunt trauma abdomen was the commonest cause in 5 (55.55%) patients of jejunal perforations.Conclusions: Indiscriminate use of NSAIDS/Steroids accounted for most of the peptic ulcer perforation in our region. The other additive factors include alcohol consumption and smoking.

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