scholarly journals Acquired Umbilico-Inguinal Fistula with Persistent Discharge due to Suture Reaction: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Muazez Cevik

The aim of this paper is to stay a very rare umbilico-inguinal fistula (UIF) resulting from a delayed suture reaction after the use of silk suture to repair an inguinal hernia. A 3-year-old boy presented with persistent umbilical discharge. The initial diagnosis was omphalitis and he was treated with broad-spectrum antibiotics but a UIF was subsequently diagnosed. Surgery was performed to ascertain the cause of the UIF. This case demonstrates that silk suture used in inguinal hernia repair can lead to a UIF, which should be considered in the differential diagnosis of a patient presenting with persistent umbilical discharge.

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Dimitrios Papaconstantinou ◽  
Nikolaos Koliakos ◽  
Andrianos-Serafeim Tzortzis ◽  
Dimitrios Schizas ◽  
Dimitrios Bistarakis ◽  
...  

Hernia ◽  
2002 ◽  
Vol 6 (2) ◽  
pp. 88-90 ◽  
Author(s):  
Tahir M. Oruç ◽  
Bahadir Kulah ◽  
Baris Saylam ◽  
Munevver Moran ◽  
Levent Albayrak ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Tolga Dinc ◽  
Selami Ilgaz Kayilioglu ◽  
Isa Sozen ◽  
Baris Dogu Yildiz ◽  
Faruk Coskun

Fournier’s gangrene is the necrotizing fasciitis of perianal, genitourinary, and perineal regions. Herein, we present a case of scrotal Fournier’s gangrene as a postoperative complication of inguinal hernia repair. A 51-year-old male with giant indirect hernia is presented. Patient underwent inguinal hernia repair, and after an unproblematic recovery period, he was discharged. He applied to our outpatient clinic on the fifth day with swollen and painful scrotum and it turned out to be Fournier’s gangrene. Polypropylene mesh was not infected. Patient recovered and was discharged after repeated debridements. Basic principles in treatment of Fournier’s gangrene are comprised of initial resuscitation, broad-spectrum antibiotics therapy, and early aggressive debridement. In the management of presented case, aggressive debridement was made right after diagnosis and broad-spectrum antibiotics were given to the hemodynamically stable patient. In these circumstances, the important question is whether we could prevent occurrence of Fournier’s gangrene.


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