scholarly journals Spontaneous enterocutaneous fistula in a patient with femoral hernia: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anup Chalise ◽  
Ashish Prasad Rajbhandari ◽  
Lok Bahadur Kathayat ◽  
Rabin Koirala
Keyword(s):  
Case Report ◽  
Epidural Anesthesia ◽  
Femoral Hernia ◽  
Enterocutaneous Fistula ◽  
Exploratory Laparotomy ◽  
Fecal Fistula ◽  
Case Presentation ◽  
Ileocecal Junction ◽  
Femoral Ring

Abstract Background Enterocutaneous fistula commonly occurs in the post-operative setting. However, a handful of cases have been reported to occur secondary to strangulation of hernia, mostly femoral due to the narrow femoral ring through which this type of hernia passes through. Case presentation We encountered a case of spontaneous fecal fistula, which occurred in the setting of an incarcerated femoral hernia. The patient did not develop peritonism, or obstruction, throughout the course of the disease. The hernia ruptured on day 7 of incarceration. Exploratory laparotomy under epidural anesthesia revealed a femoral hernia with ileum as content, arising approximately 20 cm from the ileocecal junction. Reduction of the contents was done, and a resection performed along with repair of the hernia. Conclusion As very few literature describe the formation of spontaneous fecal fistula, we discuss the presentation in this report.

A Case Report on the Surgical Management of Subhepatic Perforated Appendicitis: A Rare Presentation

2020 ◽  
Author(s):  
Mumin Hakim ◽  
Rania Mostafa ◽  
Mohammed Al Shehri ◽  
Sherif Sharawy
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Female Patient ◽  
Surgical Management ◽  
Perforated Appendicitis ◽  
Exploratory Laparotomy ◽  
Atypical Presentation ◽  
Review Of Literature ◽  
Rare Presentation ◽  
Case Presentation

Abstract Background: Subhepatic appendicitis is an exceedingly rare presentation accounting for 0.01% of Acute appendicitis. It is of prime importance to be aware of various variants and thereby managing such challenging cases accordingly.Case presentation: We present a middle-aged female patient with subhepatic perforated appendicitis and peritonitis who underwent an exploratory laparotomy and appendectomy.Conclusions: Surgical management of such patients is challenging due to an atypical presentation. The surgical management of such patients is discussed with a brief review of literature.

scholarly journals COVID-19 in the peritoneal fluid: does this evidence oblige to introduce new rules? Presentation of a Case Report

2020 ◽  
Author(s):  
Edoardo Rimini ◽  
Giulia Atzori ◽  
Alessandro Viotti
Keyword(s):  
Case Report ◽  
Surgical Therapy ◽  
Peritoneal Fluid ◽  
False Negative ◽  
Exploratory Laparotomy ◽  
Positive Patient ◽  
Case Presentation ◽  
Additional Information ◽  
Important Additional Information ◽  
New Guidelines

Abstract Background : The Covid 19 pandemic introduced the need to outline new guidelines for the treatment of the Covid positive patient in surgery. With this report we present what we believe to be important additional information about an area that has not yet been studied, the potential infectivity of peritoneal secretions.Case presentation : A 73-year-old woman accesses our PS where she is found to be positive on the nosepharyngeal swab for Covid 19. The patient presents a picture of intestinal occlusion from imprisoned hernia, which is why she undergoes exploratory laparotomy surgery. During surgery a peritoneal swab is performed which is positive for Covid 19.Conclusion : This case suggests that, in the presence of patients susceptible to surgical therapy with negative Covid swab, performing a peritoneal swab may reveal a false negative. An extensive database that collects the results of pharyngeal and peritoneal swabs of patients undergoing surgery is necessary to delineate the appropriate approach to the patient in the Covid era.

scholarly journals Strangulated Femoral Hernia Turned to Be Peritoneal Cyst

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Dionysios Dellaportas ◽  
George Polymeneas ◽  
Christina Dastamani ◽  
Evi Kairi-Vasilatou ◽  
Ioannis Papaconstantinou
Keyword(s):  
Femoral Hernia ◽  
Correct Diagnosis ◽  
Mesenteric Cyst ◽  
Inclusion Cyst ◽  
Case Presentation ◽  
Peritoneal Inclusion Cyst ◽  
Femoral Ring ◽  
Careful Exploration ◽  
The Right ◽  
Caucasian Female

Introduction. A peritoneal inclusion cyst is a very rare mesenteric cyst of mesothelial origin usually asymptomatic. A rare case of an 82-year-old white Caucasian female with a femoral hernia containing a large peritoneal inclusion cyst, mimicking strangulated hernia, is presented herein.Case Presentation. The patient was admitted to our hospital suffering from a palpable groin mass on the right, which became painful and caused great discomfort for the last hours. Physical examination revealed a tender and tense, irreducible groin mass. An inguinal operative approach was selected and the mass was found protruding through the femoral ring. After careful dissection it turned out to be a large unilocular cyst, containing serous fluid, probably originating from the peritoneum. McVay procedure was used to reapproximate the femoral ring. Histologic examination showed a peritoneal inclusion cyst.Discussion. Peritoneal inclusion cysts are usually asymptomatic but occasionally present with various, nonspecific symptoms according to their size. Our case highlights that high index of clinical suspicion and careful exploration during repair of a hernia is mandatory in order to reach the correct diagnosis about hernia’s contents.

scholarly journals Atypical presentation of a de Garengeot Hernia: A Case Report

2018 ◽  
pp. 1-3
Author(s):  
Jesse Pasternak ◽  
Megan Melland-Smith
Keyword(s):  
Case Report ◽  
Femoral Hernia ◽  
Incarcerated Hernia ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Case Presentation ◽  
Right Lower Quadrant Pain ◽  
De Garengeot Hernia ◽  
Right Lower Quadrant

Introduction: An inflamed appendix found within a femoral hernia, a de Garengeot hernia, is a rare occurrence which can present with a variety of different symptoms and be a challenge to surgical management. Case Presentation: We present the case of a 59-year-old female who presented with migratory right lower quadrant pain and was found to have a de Garengeot hernia diagnosed pre-operatively on CT imaging. She was taken to the OR for an urgent laparoscopic appendectomy with closure of the femoral hernia sack. Given this is not a true repair, the patient was scheduled for an elective femoral hernia repair subsequently. Discussion: This is the first report of a de Garengeot hernia from the Toronto area. Our case is the first of its kind to present with typical signs of appendicitis without any obvious bulge in the groin. Conclusion: This case report describes two very common acute surgical presentations, appendicitis and incarcerated hernia, seen simultaneously with only one rare pathology.

scholarly journals Surgical management of subhepatic perforated appendicitis: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Mumin Hakim ◽  
Rania Mostafa ◽  
Mohammed Al Shehri ◽  
Sherif Sharawy
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Surgical Management ◽  
Perforated Appendicitis ◽  
Exploratory Laparotomy ◽  
Atypical Presentation ◽  
Review Of The Literature ◽  
Middle Aged ◽  
Rare Presentation ◽  
Case Presentation

Abstract Background Subhepatic appendicitis is an exceedingly rare presentation, accounting for 0.01% of acute appendicitis cases. It is of prime importance to be aware of variants and manage such challenging cases accordingly. Case presentation We present a case of a middle-aged Saudi woman with subhepatic perforated appendicitis and peritonitis who underwent an exploratory laparotomy and appendectomy. Conclusions The initial diagnosis and surgical management of such patients is challenging due to an atypical presentation. The surgical management of such patients is discussed with a brief review of the literature.

scholarly journals GASTRO-INTESTINAL FOREIGN BODY SYNDROME IN SHEEP — A CASE REPORT

2021 ◽  
Vol 15 ◽  
pp. 145-148
Author(s):  
J. F. AKINRINMADE ◽  
J. F AKUSU ◽  
S. O. ONI
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Epidural Anesthesia ◽  
Exploratory Laparotomy ◽  
Clinicopathological Features ◽  
Surgical Removal ◽  
Clinical Consequence ◽  
Sheep And Goats ◽  
Left Flank

A case report of gastro-intestinal foreign body with clinical consequence in sheep is presented. Diagnosis was based on radiography and exploratory laparotomy. Treatment involved surgical removal via left flank incision under epidural anesthesia. A review of the antipathogenic factors and clinicopathological features of the syndrome in cattle, sheep and goats in Nigeria are also discussed.

scholarly journals Enterocutaneous fistula due to a strangulated Ritcher’s femoral hernia: a case report

2021 ◽  
Author(s):  
Emmanuel Murwanashyaka ◽  
Robinson Ssebuufu ◽  
Patrick Kyamanywa
Keyword(s):  
Case Report ◽  
Femoral Hernia ◽  
Enterocutaneous Fistula ◽  
Spontaneous Closure ◽  
Fistula Formation ◽  
Richter’S Hernia ◽  
Richter's Hernia

Richter’s hernia has a misleading presentation with absence of typical intestinal obstructive symptoms leading to delay in making a diagnosis, tendency to strangulation and eventual spontaneous fistula formation. This article explores a case of enterocutaneous fistula that was managed non-operatively until spontaneous closure.

scholarly journals Segmental dilatation of ileum in a child with juvenile idiopathic arthritis, localized myopathy with focal stasis induced immunogenic injury as a possible etiology: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Santosh Kumar Mahalik ◽  
Susama Patra ◽  
Bikasha Bihary Tripathy ◽  
Akash Bihari Pati ◽  
Manoj Kumar Mohanty ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Case Report ◽  
Abdominal Distension ◽  
Female Child ◽  
Case Presentation ◽  
Ileocecal Junction ◽  
Immune Mediated ◽  
Segmental Dilatation ◽  
Segmental Dilatation Of Ileum

Abstract Background Segmental dilatation of the intestine (SDI) though uncommon is a well-known entity and more than 150 cases of SDI are reported in the literature. The presentation and association of SDI are well described; however, the association of SDI with juvenile idiopathic arthritis (JIA) has not been reported earlier. We described a case of SDI with JIA, who presented with malnutrition and chronic abdominal distension. Case presentation A 5-year-old female child was getting treated for JIA and referred to us for evaluation of chronic abdominal distension. On laparotomy, a huge SDI was found approximately 40 cm from the ileocecal junction and resection of the dilated part with approximately 2–3 cm of healthy ileum on each side and anastomosis was performed. The child recovered well and the features of arthritis also resolute 6 weeks later. From histologic analysis, we have suggested role of localized myopathy in development of segmental dilatation. We have further emphasized the link between the SDI with development of arthritis. Conclusion Etiology of SDI is multifactorial with architectural malformation of the smooth muscle due to localized myopathy is the key. Focal stasis in SDI affecting permeability and increased exposure to macromolecules, and antigens may give rise to immune-mediated arthritis. Surgical management can reduce and cure the symptoms of such patients.

scholarly journals Laparoscopic repair of femoral hernia involving the bladder with coexisting indirect inguinal hernia in a young man: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ryoma Yokoi ◽  
Shigetoshi Yamada ◽  
Yuji Hatanaka ◽  
Hiroki Kato
Keyword(s):  
Inguinal Hernia ◽  
Femoral Hernia ◽  
Preperitoneal Space ◽  
Bladder Injury ◽  
Anatomical Landmarks ◽  
Indirect Inguinal Hernia ◽  
Case Presentation ◽  
Femoral Ring ◽  
Left Inguinal Region

Abstract Background Bladder hernias are rare conditions that are difficult to diagnose preoperatively; many cases are diagnosed intraoperatively or postoperatively due to bladder injury. Most bladder hernias are direct inguinal hernias that involve the bladder in obese men older than 50 years old. We describe a rare case of a left femoral hernia involving the bladder in a young man. Case presentation A 32-year-old man with a bulge in the left inguinal region underwent laparoscopic transabdominal preperitoneal repair. Laparoscopy revealed a left indirect inguinal hernia. When the preperitoneal space was dissected toward the Retzius space along the vesicohypogastric fascia, the bladder was found to be protruding into the femoral ring and adhere to the hernial orifice severely. The bladder was reduced carefully without causing injury. After dissection, we repaired the left myopectineal orifice with a mesh. The patient was discharged on postoperative day 1 without complications. No recurrences or symptoms were noted at the 12-month follow-up. Conclusions A femoral hernia involving the bladder in a young man is rare. This case demonstrated that dissection along anatomical landmarks is important for preventing injuries to the bladder because even young men may have bladder hernias.

scholarly journals Gossypiboma: A case report

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Alabi KO ◽  
◽  
Fayose SB ◽  
Akinwumi AI ◽  
Adeyeye A ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Good Condition ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Fecal Fistula ◽  
Significant Morbidity ◽  
Recent Past ◽  
Care Processes ◽  
High Index Of Suspicion

This case underscores the need for clinicians to bear the possibil‑ ity of gossypiboma in mind when patients who have had abdominal surgery in the recent past present with unresolving abdominal pain. This 46 year old woman who had an elective hysterectomy done three months earlier presented with unresolving abdominal pain of three months and lower abdominal distension of a day duration. Fol‑ lowing exploratory laparotomy, an 18 cm by 18 cm towel was recov‑ ered from her peritoneal cavity. She subsequently developed fecal fistula which was successfully managed conservatively and was dis‑ charged in good condition on 20th post-operative day. Gossypiboma is a rare but grave complication of abdominal and pelvic surgeries with attendant significant morbidity or even mortal‑ ity. Adequate attention to patient care processes may reduce its oc‑ currence and high index of suspicion is needed for its diagnosis. Keywords: abdominal sponge; gossypiboma; intra‑abdominal.

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