scholarly journals Right funicular hydrocele accompanied by in adverted lateral inguinal hernia finding in geriatric male patient during operation: a case report

2021 ◽  
Vol 9 (3) ◽  
pp. 899
Author(s):  
Dewa Gede Sudiatmika ◽  
I. Gusti Ayu Agung Bella Jayaningrum
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Geriatric Patient ◽  
Posterior Wall ◽  
Testicular Atrophy ◽  
Indirect Inguinal Hernia ◽  
Atypical Presentation ◽  
Processus Vaginalis ◽  
Abdominal Content ◽  
The Right

Lateral hernia is caused by patent or reopening of processus vaginalis that lead herniation of abdominal content into scrotal sac. These defects can cause atypical presentation of indirect inguinal hernia along with hydrocele. We present a case of a male 78-year-old with chief complain of painless swelling on right scrotum that gradually getting bigger since a year ago. During the examination we found trans-illuminable mass in the right scrotum along with protrusion of bowel contents at the inguinal region. Patient underwent herniotomy with mesh installation to fix the lateral inguinal hernia and then followed by hydrocele removal with Jaboulay’s technique. Prognosis of this patient is believed to be good. We have presented a case of a geriatric patient with right lateral inguinal hernias with encysted hydrocele which is a presentation that could be happen due to anatomy of the inguinal ring. This patient underwent herniotomy with mesh installation to fix the lateral inguinal hernia and this procedure maintains the principle of tension-free posterior wall, hence preventing recurrence. Then followed by hydrocele removal with Jaboulay’s technique to prevent any complications such as testicular atrophy, haematocele and pyelocele. Prognosis of this patient is believed to be good.

scholarly journals Modified shouldice repair of bilateral inguinal hernia with hydrocele: A case report

2017 ◽  
Vol 7 (1) ◽  
pp. 62-65
Author(s):  
Smit Shah ◽  
Praful Shah
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Medical Condition ◽  
Interesting Case ◽  
Indirect Inguinal Hernia ◽  
Bilateral Inguinal Hernia ◽  
Processus Vaginalis ◽  
Shouldice Repair ◽  
Operative Outcome ◽  
Common Medical Condition

Indirect inguinal hernia is a common medical condition that can be caused by an embryological defect due to failure of closure of processus vaginalis that can lead to herniation (i.e. abnormal protrusion) of abdominal contents into scrotal sac in males. In this paper, we describe an interesting case report of a patient with bilateral inguinal hernia with hydroceles who underwent a modified shouldice repair. In addition, we also discuss initial presentation & surgical management of this patient who had painless postero-inferior displacement of testes. Reason why we think this case is unique, is because of ‘bilateral’ hydroceles along with bilateral inguinal hernia which is rarely seen as compared to its unilateral counterparts. We also describe various surgical steps of modified shouldice repair with bilateral orchiopexy along with the post-operative outcome. Finally, we also discuss various types of hydroceles, along with its pathology that is found after surgical resection.South East Asia Journal of Public Health Vol.7(1) 2017: 62-65

A rare encounter of obstructed direct inguinal hernia

2019 ◽  
Vol 22 (2) ◽  
pp. 41-43
Author(s):  
Amit Kumar Singh ◽  
Nripesh Rajbhandari ◽  
Balaram Malla ◽  
Gakul Bhatta
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Intestinal Resection ◽  
Posterior Wall ◽  
Acute Intestinal Obstruction ◽  
University Hospital ◽  
Direct Inguinal Hernia ◽  
Direct Hernia ◽  
The Right

The direct inguinal hernia has a wider neck and thus usually doesn’t present as strangulation or incarceration in comparison to the indirect component. When direct inguinal hernias are untreated for a longer duration, they may get strangulated and incarcerated. Hence such long-standing direct hernias with features of intestinal obstruction and /or peritonism should be promptly seen and diagnosed to prevent massive and unwanted intestinal resection. We are reporting a case of 83-year-old male presented to Surgical Emergency Department of Dhulikhel Hospital, Kathmandu University hospital with complaints of swelling in the right inguinoscrotal region for 12 years and progressed to become irreducible and painful for 12 hours. Clinically he had an acute intestinal obstruction. Intra-operatively we found a direct hernia containing congested small bowel loops and toxic fluids. The toxic fluid was suctioned and after confirming viability, modified Bassini’s repair was done with reinforcement of the posterior wall. Even direct inguinal hernia of longer duration can cause acute or sub-acute intestinal obstruction with or without features of peritonism. This complication is more common in elderly patients.

scholarly journals LIPOSARCOMA OF SPERMATIC CORD PRESENTING AS INDIRECT INGUINAL HERNIA- A RARE CASE REPORT

2011 ◽  
Vol 01 (01/03) ◽  
pp. 63-65
Author(s):  
Padma Shetty K. ◽  
Harish S. Permi ◽  
Michelle Mathias ◽  
Kishan Prasad ◽  
Teerthanath S. ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Rare Case ◽  
Surgical Excision ◽  
Myxoid Liposarcoma ◽  
Clinical Findings ◽  
Inguinal Region ◽  
Indirect Inguinal Hernia ◽  
Rare Case Report

AbstractLiposarcoma in the inguinal region though rare are clinically significant lesions. Preoperative diagnosis is difficult since the clinical findings are very similar to that of inguinal hernia. We report a rare case of Liposarcoma of the spermatic cord in 85 year old male, clinically diagnosed as left sided indirect inguinal hernia. Surgical excision specimen showed multiple globular lipomatous masses which were yellowish and grey tan with areas of myxoid degeneration and necrosis seen. Microscopic examination showed adipocytes arranged in lobules with numerous blood vessels, lipoblasts and myxoid stroma confirming the diagnosis of myxoid liposarcoma. He is on regular follow up since two years without any recurrence or metastasis. Our case report highlights the importance of sampling and examination of fatty masses in the inguinal region to rule out the possibility of liposarcoma as they are mistaken for lipoma at surgery.

scholarly journals Duplicate Vas Deferens Encountered during Inguinal Hernia Repair: A Case Report and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Maxwell C. Breitinger ◽  
Evan H. Roszkowski ◽  
Adam J. Bauermeister ◽  
Andrew A. Rosenthal
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Inguinal Hernia ◽  
Literature Review ◽  
Hernia Repair ◽  
Spermatic Cord ◽  
Doppler Ultrasonography ◽  
Vas Deferens ◽  
Incarcerated Inguinal Hernia ◽  
The Right

Duplication of the vas deferens is a rare anomaly, defined as the presence of two distinct vasa deferentia within one spermatic cord, with only 28 cases reported worldwide since 1959. We report the case of a 63-year-old man with a duplicate vas deferens, presenting with abdominal pain from bowel obstruction secondary to incarcerated inguinal hernia. Spermatic cord dissection during hernioplasty revealed duplication of the vas deferens within the right spermatic cord. Doppler ultrasonography confirmed absence of waveforms in both vasa deferentia with arterial signal in the accompanying vessel. The hernia was repaired without complication. This report emphasizes recognition of duplicate vas deferens in avoiding iatrogenic injury and optimizing surgical outcome.

A right sliding indirect inguinal hernia containing paraovarian cyst, fallopian tube, and ovary: a case report

2008 ◽  
Vol 279 (6) ◽  
pp. 897-899 ◽  
Author(s):  
Orhan Veli Ozkan ◽  
Ersan Semerci ◽  
Erdogan Aslan ◽  
Sebiha Ozkan ◽  
Kenan Dolapcioglu ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Fallopian Tube ◽  
Indirect Inguinal Hernia ◽  
Paraovarian Cyst

Patent processus vaginalis in the adult as a risk factor for the occurrence of indirect inguinal hernia

2007 ◽  
Vol 21 (2) ◽  
pp. 202-205 ◽  
Author(s):  
R. N. van Veen ◽  
K. J. P. van Wessem ◽  
J. A. Halm ◽  
M. P. Simons ◽  
P. W. Plaisier ◽  
...  
Keyword(s):  
Risk Factor ◽  
Inguinal Hernia ◽  
Indirect Inguinal Hernia ◽  
Processus Vaginalis ◽  
Patent Processus Vaginalis

scholarly journals Strangulated direct inguinal hernia with intraperitoneal perforation

2017 ◽  
Vol 4 (12) ◽  
pp. 4093 ◽  
Author(s):  
Md Asjad Karim Bakhteyar ◽  
Binod Kumar ◽  
Sushil Kumar
Keyword(s):  
Small Intestine ◽  
Inguinal Hernia ◽  
Posterior Wall ◽  
Indirect Inguinal Hernia ◽  
Direct Inguinal Hernia ◽  
Peritoneal Perforation ◽  
Direct Hernia

Usually direct inguinal hernia doesn’t present as strangulation or incarceration as compared to indirect inguinal hernia because of earlier has wider neck. A patient of recurrent direct inguinal hernia presents as intra-scrotal gangrene and intra-peritoneal perforation. We reported a case of 65 years old male presented with septicemia and right sided strangulated direct hernia. On exploration through inguino scrotal incision and mid line laparotomy, gangrenous loop was found in scrotum and perforation was found in intra-peritoneal part of small intestine. Resection-anastomosis was done for both the parts of intestine. Inguinal Incision was closed by posterior wall closure and modified Bassini’s herniorraphy. Abdomen was closed in layers with brain. Long standing direct hernia may present as strangulation or incarceration specially in elderly but perforation and gangrene of intra-peritoneal part of small intestine is very rare.

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 Pantaloon Hernia in a Female: A Rare Finding

2021 ◽  
Vol 3 (2) ◽  
pp. 1-2
Author(s):  
Onyeyirichi Otuu ◽  
Uche Emmanuel Eni ◽  
Callistus Ugochukwu Ndunaka ◽  
Nwanneka Louisa Kwentoh
Keyword(s):  
Inguinal Hernia ◽  
Correct Diagnosis ◽  
Posterior Wall ◽  
Uneventful Recovery ◽  
Indirect Inguinal Hernia ◽  
Left Groin ◽  
Epigastric Artery ◽  
Appropriate Treatment ◽  
Groin Swelling

The incidence of inguinal hernia in females is less compared to the males. Pantaloon hernia in females is even rarer and may be first diagnosed during surgery. We report a rare case of pantaloon hernia in a 60 year old female patient. She presented with reducible left groin swelling of 3 years duration and a clinical diagnosis of an indirect inguinal hernia made. A direct sac and an indirect sac were discovered at operation on both sides of the inferior epigastric artery. The posterior wall was repaired by Lichtenstein method. Patient made an uneventful recovery and there was no recurrence after 12 months of follow up. Though pantaloon hernia is rare in females, proper dissection, and identification of structure in the inguinal canal is necessary to make the correct diagnosis and to offer the appropriate treatment.

scholarly journals Left sided obstructed Amyand’s hernia: a rare case report

2019 ◽  
Vol 6 (5) ◽  
pp. 1806
Author(s):  
Akash Agrawal ◽  
Palak Vora
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Rare Case ◽  
Perforated Appendicitis ◽  
Amyand’S Hernia ◽  
Right Colon ◽  
Rare Form ◽  
Hernial Sac ◽  
Rare Case Report ◽  
The Right

Amyand's hernia is a rare form of an inguinal hernia (less than 1% of inguinal hernias) which occurs when the appendix is a part of hernial sac. Because of anatomical position of the appendix, it is most commonly found in the right sided hernial sac and it can also be accompanied by the caecum and/or right colon. In rare case, Amyand’s hernia can appear on the left side also. Here we report a case of left sided amyand’s hernia with acute perforated appendicitis in a 58 years old male patient at GMERS hospital, Dharpur, Patan, Gujarat, India.

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