scholarly journals Interparietal Inguinal Hernia with Ectopic Testis – An Uncommon Surgical Emergency

2021 ◽  
Vol 10 (12) ◽  
pp. 912-914
Author(s):  
Sunilkumar B. Alur ◽  
Sangeetha Siva
Keyword(s):  
Inguinal Hernia ◽  
Primary Anastomosis ◽  
Tubular Atrophy ◽  
Left Testis ◽  
Hernia Sac ◽  
The Past ◽  
History Of ◽  
External Oblique Aponeurosis ◽  
External Oblique ◽  
Operative Recovery

A 46-year-old gentleman presented to casualty with a reducible right groin swelling (Figure 1) present since childhood which had suddenly become painful and irreducible for the past 6 hours. He gives history of absent right testis since childhood. There’s no history of vomiting, abdominal distension or obstipation. He had no surgeries in the past, no testicular disease or infertility problems. Physical examination revealed obstructed inguinal hernia with doubtful strangulation, absent right testis and normal appearing left testis. After evaluation, patient underwent emergency exploration of right inguinal hernia under general anaesthesia which revealed gangrenous small bowel, omentum in between external oblique aponeurosis and skin without a hernia sac (Figure 2) and; ectopic right testis in the superficial inguinal pouch (Figure 3). Segmental resection of gangrenous bowel with primary anastomosis and right orchidectomy performed through the same inguinal approach. Anatomical repair of posterior wall followed by approximation of external oblique aponeurosis was performed. Histopathology report showed gangrenous ileum with patchy necrosis; testis with tubular atrophy and hyalinisation, maturation arrest of spermatogonia and hyperplasia of interstitial Leydig cells. Post-operative recovery was uneventful.

scholarly journals Case report of a giant inguinal hernia causing intestinal obstruction

2021 ◽  
Vol 8 (8) ◽  
pp. 2463
Author(s):  
R. Sanjay ◽  
Farukh Khan ◽  
Shalu Gupta ◽  
Prashant . ◽  
Akash .
Keyword(s):  
Inguinal Hernia ◽  
Abdominal Cavity ◽  
Standing Position ◽  
Abdominal Pressure ◽  
Hernia Sac ◽  
Modern Times ◽  
The Past ◽  
Abdominal Hypertension ◽  
History Of ◽  
Abdominal Compartment

Inguinal hernia is one of the ancient diseases that haunted the humanity from its very beginning to the modern times. Giant inguinal hernia is defined as an inguinal hernia that extends below the midpoint of inner thigh when the patient is in standing position. A 43 years old healthy male was affected by long standing, progressively enlarging right sided inguinal hernia for the past 21 years. His symptoms of abdominal discomfort and pain in lower abdomen after meal had worsened over time and he had lost 13 kg of weight in past 2 years. He had difficulty in micturition and gave history of constipation. Giant inguinal hernia is a type of hernia with massive contents inside the hernia sac and limited domain of abdominal cavity. The surgeon’s decision regarding the prevention of intra-abdominal hypertension is a crucial stage of overall management. Giant inguinal hernia is a very rare. It is defined as hernia sac extending below mid inner thigh in the standing position. Surgical repair is very challenging and has significant morbidity and mortality due to increased intra-abdominal pressure and abdominal compartment syndrome.

scholarly journals Spigelian hernia with bilateral undescended (impalpable) testis in a child: rare scenario

2021 ◽  
Vol 8 (3) ◽  
pp. 578
Author(s):  
Gaurav Singh ◽  
Garvita Singh ◽  
Satish K. Aggarwal
Keyword(s):  
Inguinal Hernia ◽  
Spigelian Hernia ◽  
Acute Obstruction ◽  
Lower Abdomen ◽  
Left Testis ◽  
Impalpable Testis ◽  
External Oblique Aponeurosis ◽  
External Oblique ◽  
Internal Oblique ◽  
Conjoint Tendon

Spigelain hernia (SH) is rarely seen in children. Various mechanisms has been described for the co-existence with cryptorchidism. A 4 month old boy, a known case of bilateral impalpable testes and intermittent right lower abdominal swelling was brought to paediatric emergency with complaints of excessive cry, poor feeding and irreducible right lower abdominal swelling - the swelling was a little higher than the usual inguinal hernia. On exploration, SH was seen coming off the deep ring then turning around the conjoint tendon and dissecting between internal oblique and external oblique aponeurosis. The hernia contained oedematous but viable gut with compression over the testicular vessels. Gut was viable. The testes was mobilized and fixed into the scrotum. Left testis was impalpable for which nubbin excision was done at a later date. A SH in the lower abdomen may be confused with a high inguinal hernia. In acute obstruction, emergent exploration and reduction is the cornerstone of treatment.

scholarly journals An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Seisuke Ota ◽  
Toshio Noguchi ◽  
Tomoya Takao ◽  
Takumi Sakamoto ◽  
Yuichiro Kanie ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Transverse Colon ◽  
Surgical Intervention ◽  
C Reactive Protein ◽  
Fluid Level ◽  
Hernia Sac ◽  
Reactive Protein ◽  
Free Air ◽  
History Of ◽  
Cold Extremities

There are few reports of a transverse colon inguinal hernia; furthermore, an inguinal hernia perforating the scrotum is rare. Here we report the case of a 79-year-old man who died after developing an incarcerated colon inguinal hernia that perforated the scrotum and exhibited an air-fluid level. The patient was referred to our hospital in November 2011 with a complaint of inability to move. Physical examination revealed an abnormally enlarged left scrotum and cold extremities. He reported a history of gastric cancer that was surgically treated more than 30 years ago. His white blood cell count and C-reactive protein level were elevated. Abdominal and inguinal computed tomography revealed that his transverse colon was incarcerated in the left inguinal canal. Free air and air-fluid level were observed around the transverse colon, suggestive of a perforation. The patient and his family refused any surgical intervention; therefore, he was treated with sultamicillin tosilate hydrate and cefotiam hydrochloride. However, he succumbed to panperitonitis 19 days after admission. The findings from this case indicate that the transverse colon can perforate into an inguinal hernia sac.

scholarly journals Wandering Distal End of Ventriculo-Peritoneal Shunt: Our Experience with Five Cases and Review of Literature

2013 ◽  
Vol 32 (3) ◽  
pp. 266-269 ◽  
Author(s):  
Vijay Kumar Kundal ◽  
Mufique Gajdhar ◽  
Chetan Sharma ◽  
Deepak Agrawal ◽  
Raksha Kundal
Keyword(s):  
Inguinal Hernia ◽  
The Other ◽  
Unusual Complication ◽  
Shunt Surgery ◽  
Review Of Literature ◽  
Hernia Sac ◽  
Vp Shunt ◽  
The Past ◽  
Shunt Removal ◽  
Ventriculo Peritoneal Shunt

Ventriculo-peritoneal (VP) shunt is the most commonly performed procedure for the management of hydrocephalus. Although shunts have improved the morbidity and mortality associated with disordered Cerebrospinal fluid (CSF) mechanics over the past 30 years, they still are associated with many potentially avoidable complications in clinical practice. However, extrusion of VP shunt catheter is an unusual complication of VP shunt Surgery. We are presenting this unusual complication in five patients. The lower end of the shunt was seen extruding from anal opening in one patient, umbilicus in one, urethra in one, inguinal hernia sac in one and oral cavity in one patient. All of these patients were managed by shunt removal, intra venous antibiotics followed by shunt replacement on the other side except the patient with inguinal hernia sac. DOI: http://dx.doi.org/10.3126/jnps.v32i3.6935 J. Nepal Paediatr. SocVol.32(3) 2012 266-269

scholarly journals A rare case of Amyand’s hernia with acute appendicitis in a 69-year-old woman: a case report

2020 ◽  
Vol 2 (4) ◽  
pp. 385-387
Author(s):  
Antonio Gligorievski ◽  
◽  
◽  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Rare Case ◽  
Ct Scanning ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
History Of ◽  
The Right ◽  
Surgical Clinic

Introduction: Amyand’s hernia is an extremely rare and atypical hernia that is difficult to diagnose clinically characterized by the herniation of the appendix into the inguinal sac. The aim of this report is to describe a case of Amyand’s hernia and highlights the importance of early CT scanning in reaching the exact and early diagnosis of Amyand’s hernia. Case report: We present a rare case of a 69-year-old female patient with a history of intermittent pain in the right inguinal region is see at the emergency surgical clinic. The patient underwent a CT scan of the abdomen and a small pelvis, and an inflamed appendix was diagnosed. The inflamed appendix is herniated in the inguinal hernia sac. Computed tomography was the only modality to diagnose the hernia sac contents preoperatively. Discussion: The reported incidence of Amyand’s hernia is less than 1% of all adult inguinal hernia cases. Acute appendicitis in Amyand’s hernia is even less common, with 0,1% of all cases of acute appendicitis. This hernia may be present without symptoms until the inflammation of the appendix may lead to incarceration, strangulation, necrosis, perforation, or rupture. Early symptoms include tenderness and inguinal swelling. Conclusions: Computer tomography helps make an accurate and timely diagnosis of Amyand’s hernia, thus avoiding complications from delayed surgery.

scholarly journals Amyand’s hernia: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 2072
Author(s):  
Gawade Harshad Namdev ◽  
Padale Sanjay ◽  
Shetty Varun ◽  
Deshpande Padnanabh
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Mesh Repair ◽  
Amyand’S Hernia ◽  
Rare Entity ◽  
Hernia Sac ◽  
Tension Free ◽  
History Of

Amyand’s hernia is a rare pathology of an appendix with or without inflammation within the hernia sac is named after the French born English surgeon Dr. Claudius Amyand. We hereby present a case report of this rare entity known as a type 2 Amyand’s hernia. A 64 years old male, who had had a left-sided inguinal hernia for the previous 5 years, presented with a 2-day-history of fever, pain, vomiting, and irreducibility of the hernia. Upon exploration an irreducible inguinal hernia with appendix as its content was identified. Appendectomy was performed followed by a tension free mesh repair of the underlying hernia. Consequently, our recommendation is that the decision to perform an appendectomy and/or to use mesh to repair hernias should always be individualized.

scholarly journals Herniation of ureter: a rare cause of hydroureteronephrosis

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Preeti Gupta ◽  
Pankaj Sharma ◽  
Vinay Maurya ◽  
Mukul Bhatia
Keyword(s):  
Inguinal Hernia ◽  
Previous History ◽  
Prior History ◽  
Ct Urography ◽  
Hernia Sac ◽  
Case Presentation ◽  
History Of ◽  
Contrast Ct ◽  
Inguinal Herniation

Abstract Background Omentum and bowel loops are commonly seen in inguinal hernia. An unusual case of extraperitoneal herniation of ureter was detected in hernial sac with other contents, on computed tomography (CT) urography. Case presentation A 54-year-old male presented with inguinal hernia, with no previous history of surgery or trauma. Pre-operative screening showed a unilateral hydroureteronephrosis involving the pelvicalyceal system and entire ureter. No calculus was visualized in the ureter on ultrasound. On non-contrast CT (NCCT) followed by CT urography, the ureter was seen descending into the hernia sac causing hydroureteronephrosis. The patient subsequently underwent mesh repair surgery of the inguinal hernia with meticulous reduction of the herniated contents including the ureter, resulting in complete resolution of the hydroureteronephrosis. Conclusion An isolated extraperitoneal inguinal herniation of the ureter without concomitant urinary bladder involvement is extremely rare, especially with no prior history of trauma or surgery, as seen in our case. The case also exemplifies the role of pre-operative imaging as a protocol in cases of inguinal hernia to prevent per-operative complications.

scholarly journals REPAIR OF ADULT INGUINAL HERNIA WITH CONTINUOUS SUTURES OF EXTERNAL OBLIQUE APONEUROSIS

2016 ◽  
Vol 5 (30) ◽  
pp. 1590-1595
Author(s):  
Sunilkumar Singh Salam ◽  
Jitendra N ◽  
Rosemary Vumkhoching ◽  
Renuca Karam ◽  
Arun Kumar Singh T
Keyword(s):  
Inguinal Hernia ◽  
External Oblique Aponeurosis ◽  
External Oblique

scholarly journals Litrre’s hernia: partially reduced inguinal hernia in a 3-year-old boy

2021 ◽  
Vol 2021 (9) ◽  
Author(s):  
Bardisan Gawrieh ◽  
Waseem Shater ◽  
Mohammad Ali Deeb ◽  
Alaa Ghuzlan ◽  
Hanna Kassab ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Intestinal Loop ◽  
Hernia Sac ◽  
Bowel Movements ◽  
Good Clinical Condition ◽  
History Of ◽  
Littre’S Hernia ◽  
General Signs ◽  
The Right

Abstract This report examines the case of a 3-year-old child presenting with a 1-month history of swelling in the right groin. The boy had no associated nausea or vomiting, was afebrile and had had normal bowel movements. Attempts to reduce the swelling were only partially successful. Ultrasonography indicated the presence of turbid hydrocele and a hernia sac containing an intestinal loop. Accordingly, the patient underwent an urgent herniotomy. Exposing the hernia sac revealed 5 cm Meckel’s diverticulum, and the base of the diverticulum was resected from the inside of the hernia sac. The boy was discharged 4 days after the operation in good clinical condition. The presented case highlights the need to consider Littre’s hernia when dealing with partially reduced inguinal hernias in children with no general signs or evidence of intestinal obstruction.

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