scholarly journals INCORRECT REPOSITIONING OF ENTRAPPED INGUINAL HERNIA

2021 ◽  
Vol 20 (1) ◽  
pp. 39-42
Author(s):  
Mykhailo Hresko ◽  
Maryna Hresko
Keyword(s):  
Small Intestine ◽  
Inguinal Hernia ◽  
Elective Surgery ◽  
Body Position ◽  
Surgical Department ◽  
Relevant Today ◽  
Free Air ◽  
Bowel Movements ◽  
Small Intestinal ◽  
The Right

The case presents entrapped inguinal hernia and its incorrect repositioning with resulted strangulation of small intestine. The purpose of the work. Prevention of such cases in surgery and observance of strict rules of classical canons in the surgical environment, which remain relevant today. Patient M., 45 years old, was urgently hospitalized with complaints of intense, intractable, painful protrusion in the hernia in the right groin. From the anamnesis – suff ers from right inguinal hernia for 3 years. The day before, during exercise, an intractable, painful protrusion appeared at the site of the hernia, which began to increase. When examining the abdomen in the projection of the outer ring of the right inguinal canal there is a hernial protrusion, which does not disappear and does not change in size when changing body position. The protrusion is tense, dense, painful, the symptom of «coughing» in the area of protrusion is not transmitted, and coughing increases the pain. No free air and Kloiber’s bowls were found in the abdomen. According to laboratory and instrumental examination and objective signs, the diapatient was diagnosed with strangulated right inguinal hernia. During the examination of the patient, the hernial protrusion was exercised, so the patient was dynamically monitored. The next day the patient left the surgical department due to family circumstances. After 3 days, the patient again went to the surgical department with complaints of thirst and abdominal pain, vomiting with small intestine content and no discharge of gases and no bowel movements for 5 days. On examination, the patient’s condition is moderate. Taking into account the anamnesis, clinical evolution of the disease, laboratory and instrumental examination data and objective signs, it was concluded that the patient has acute surgical pathology. Diagnosed with: Acute small intestinal obstruction. The clinical case shows a misalignment of a strangulated inguinal hernia. After self-repositioning of the hernia, patients should be hospitalized to the surgical department for an elective surgery.

scholarly journals Cutaneous mastocytoma with eosinophilia and eosinophilic infiltration of the small intestine in an Arabian gelding

2020 ◽  
Vol 8 (1) ◽  
pp. e000773
Author(s):  
Natasha Jane Williams ◽  
Robin van den Boom
Keyword(s):  
Small Intestine ◽  
Tendon Sheath ◽  
Needle Aspiration ◽  
Eosinophilic Infiltration ◽  
Mesenteric Root ◽  
Flexor Tendon Sheath ◽  
Subcutaneous Mass ◽  
Small Intestinal ◽  
The Right ◽  
The University

A 12-year-old Arabian gelding presented to the University of Adelaide for investigation of a firm subcutaneous mass, just proximal to the digital flexor tendon sheath of the right forelimb, that had appeared two weeks prior. The skin overlying the mass was intact. Fine needle aspiration identified eosinophilic and mastocytic infiltrates. One week later, the gelding re-presented for persistent colic signs. Blood examination showed eosinophilia, and on palpation per rectum the mesenteric root was very firm and enlarged and a number of small intestinal loops had subjectively thickened walls. Colic signs were unabated by the administration of pain relief. The owner declined surgery and the gelding was euthanased. Postmortem examination confirmed a diagnosis of cutaneous mastocytoma and revealed eosinophilic infiltration of the small intestine.

Caveolin-1 knockout alters β-adrenoceptors function in mouse small intestine

2006 ◽  
Vol 291 (6) ◽  
pp. G1020-G1030 ◽  
Author(s):  
Ahmed F. El-Yazbi ◽  
Woo Jung Cho ◽  
Richard Schulz ◽  
Edwin E. Daniel
Keyword(s):  
Small Intestine ◽  
Caveolin 1 ◽  
Mouse Small Intestine ◽  
Intestinal Paralysis ◽  
Dependent Protein ◽  
Small Intestinal ◽  
The Right ◽  
G Protein Coupled ◽  
Brl 37344 ◽  
Concentration Response Curve

β-Adrenoceptors are G protein-coupled receptors whose functions are closely associated with caveolae in the heart and cultured cell lines. In the gut, they are responsible, at least in part, for the mediation of the sympathetic stimulation that might lead to intestinal paralysis postoperatively. We examined the effect of caveolin-1 knockout on the β-adrenoceptor response in mouse small intestine. The relaxation response to (−)-isoprenaline in carbachol-contracted small intestinal tissue segments was reduced in caveolin-1 knockout mice (cav1−/−) compared with their genetic controls (cav1+/+). Immunohistochemical staining showed that β-adrenoceptor expression was similar in both strains in gut smooth muscle. Selective β-adrenoceptor blockers shifted the concentration response curve (CRC) of (−)-isoprenaline to the right in cav1+/+ intestine, but not in cav1−/−, with greatest shift in case of the β3-blocker, SR59230A. The CRC of the selective β3-agonist BRL 37344 was also shifted to the right in cav1−/− compared with cav1+/+. The cAMP-dependent protein kinase (PKA) inhibitor H-89 shifted the CRC of (−)-isoprenaline to the right in cav1+/+ but not in cav1−/−. H-89 reduced the relaxation due to forskolin and dibutyryl cAMP in cav1+/+ but not in cav1−/−, suggesting a reduction in PKA activity in cav1−/−. In cav1+/+, PKA was colocalized with caveolin-1 in the cell membrane, but PKA immunoreactivity persisted in cav1−/−. Examination of PKA expression in the lipid raft-rich membrane fraction of the jejunum revealed reduced PKA expression in cav1−/− compared with cav1+/+. The results of the present study show that the function of β-adrenoceptors is reduced in cav1−/− small intestine likely owing to reduced PKA activity.

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.

scholarly journals Mechanical intestinal obstruction following laparoscopic inguinal hernia repair in a patient with abdominal cocoon syndrome

2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Geon Hi Park ◽  
Byoung Chul Lee ◽  
Dong woo Hyun ◽  
Jung Bum Choi ◽  
Young Mok Park ◽  
...  
Keyword(s):  
Small Intestine ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Rare Condition ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Abdominal Cocoon ◽  
Surgical Department ◽  
Mechanical Intestinal Obstruction ◽  
Long Time ◽  
Transabdominal Preperitoneal Inguinal Hernia

Abstract Abdominal cocoon syndrome (ACS) is a rare condition characterized by partial or complete encasement of small intestine by a thick fibro-collagenous membrane. A 65-year-old man presented to the surgical department with left inguinal. He underwent laparoscopic transabdominal preperitoneal inguinal hernia. When we inserted a trocar into the peritoneal cavity, the small intestine was injured and repaired immediately. We identified a fibrotic membrane covering the small intestine, which was found as ACS. Two weeks later after discharge, he presented to the emergency department with mechanical intestinal obstruction. Conservative treatment had no effect on the patient and membrane excision, adhesiolysis and small intestine resection with anastomosis were performed. Unfortunately, the patient was hospitalized for a long time with bowel leakage and discharged on postoperative day 48. The preoperative diagnosis is quite challenging and most cases are diagnosed intraoperatively. When finding the ACS during the operation, careful attention should be needed.

scholarly journals A study of inguinal hernia in children

2018 ◽  
Vol 5 (7) ◽  
pp. 2558
Author(s):  
Rakesh Kumar ◽  
Vijay Shankar Prasad
Keyword(s):  
Inguinal Hernia ◽  
Elective Surgery ◽  
High Ligation ◽  
Indirect Hernia ◽  
Delay In Diagnosis ◽  
New Born ◽  
Infancy And Childhood ◽  
The World ◽  
The Right ◽  
Surgical Condition

Background: Inguinoscrotal swellings are one of the commonest anomalies in infancy and childhood throughout the world. Delay in diagnosis and treatment leads to loss of testis, ovaries or portion of bowel to incarceration or strangulation. This study was undertaken to evaluate the age, sex and sidewise distribution and the complications like incarceration, strangulation and gonadal infarction.Methods: A total of 50 children were selected ranging in age from new born to 12 years presenting with inguinoscrotal swelling which were examined, followed up and managed.Results: The inguinal hernia was most common among male children (92%) thereby giving a ratio of M: F=11.5:1. The children were aged new born -12 years and most of the patients presented around 2 to 7(46%) years and prematurity noticed in 10% of cases. Right sided (64%) inguinal hernia was more common than left (28%). In this study indirect hernia is 98% and direct is 2%. In 16 cases of hydrocele, 10 were on the left side and 6 were on the right and 6 cases were encysted hydrocele. High ligation at the level of deep ring was done in all the cases. In this series of 50 children, there were 2 cases of incarceration. But none had strangulation and gonadal infarction.Conclusions: Inguinal hernia is a common surgical condition in children. Elective surgery is associated with minimal complications. Incarceration is more common in infancy with chances of recurrence if explored in emergency. 

scholarly journals Amyand’s Hernia: Rare Presentation of a Common Ailment

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Sanjeev Singhal ◽  
Anu Singhal ◽  
Sanjay Singh Negi ◽  
Rahul Tugnait ◽  
Pankaj Kumar Arora ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Elective Surgery ◽  
Vermiform Appendix ◽  
Treatment Modalities ◽  
Amyand’S Hernia ◽  
High Grade Fever ◽  
Rare Presentation ◽  
Mesh Placement ◽  
Operative Findings ◽  
The Right

Inguinal hernia with vermiform appendix as content is known as Amyand’s hernia. It is a rare entity but we encountered four cases within six months. A 52-year-old female had high grade fever and evidence of inflammatory pathology involving the ileocaecal region. She was initially managed conservatively and subsequently underwent exploratory laparatomy. The appendix was perforated and herniating in the inguinal canal. Appendectomy was done with herniorrhaphy without mesh placement. A 74-year-old male with bilateral inguinal hernia, of which, the right side was more symptomatic, underwent open exploration. Operative findings revealed a lipoma of the sac and a normal appearing appendix as content. Contents were reduced without appendectomy and mesh hernioplasty was performed. A 63-year-old male with an obstructed right sided hernia underwent emergency inguinal exploration which revealed edematous caecum and appendix as content without any inflammation. Contents were reduced without any resection. Herniorrhaphy was performed without mesh placement. A 66-year-old male with an uncomplicated right inguinal hernia underwent elective surgery. The sac revealed an appendix with adhesions at the neck. Contents were reduced after adhesiolysis and hernioplasty was performed with mesh placement. Emphasis is made to the rarity of disease, variation in presentation, and difference in treatment modalities depending upon the state of appendix.

scholarly journals Reduction En-Masse of Inguinal Hernia After Self-Reduction

2020 ◽  
Author(s):  
Khosrow Najjari ◽  
Hossein Zabihi Mahmoudabadi ◽  
Seyed Zeynab Seyedjavadeyn ◽  
Reza hajebi
Keyword(s):  
Small Intestine ◽  
Inguinal Hernia ◽  
Closed Loop ◽  
Recurrent Inguinal Hernia ◽  
Lower Quadrant ◽  
Case Presentation ◽  
History Of ◽  
The Right ◽  
Right Lower Quadrant

Abstract Background: Reduction en-mass (REM) is one of the rare complications of inguinal hernia reduction. Case presentation: Our patient is a 50-year-old man with a history of inguinal hernia, who had been referred with the periumbilical pain that radiated to the right lower quadrant following hernia replacement by himself. Conclusions: Finally, REM diagnosis was made based on clinical examination and imaging, and surgical treatment was performed. in very rare cases, hernia was reduced by patients themselves. In this case study, a patient with a history of recurrent inguinal hernia was reported. The patient himself reduced his hernia the last time. In CT of the abdomen and pelvis, evidence of sac wall and small intestine fibrosis was seen as closed loop.

scholarly journals Amyand’s Hernia: A Rare Case Report

2021 ◽  
Vol 17 (2) ◽  
pp. 159
Author(s):  
Fadli Robby Amsriza ◽  
Rizka Fakhriani
Keyword(s):  
Inguinal Hernia ◽  
Elective Surgery ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Treatment Method ◽  
Amyand’S Hernia ◽  
Hernia Surgery ◽  
Hernia Sac ◽  
Inguinal Hernia Surgery ◽  
The Right

Abstract: Amyand’s hernia is described in the inguinal hernia sac as being the presence of an appendix vermiformis. It is a rare condition the incidence is about 1 per cent of all inguinal hernias. It is often diagnosed incidentally during inguinal hernia surgery. The main treatment method of Amyand’s hernia is surgery. We report a case of 63 years old man who presented with right inguinal groin bulge for 1 month with the previous repaired right inguinal hernia 5 years ago. On clinical examination revealed a 6 cmx8 cm firm, nontender, irreponible mass in the right inguinal region. He was diagnosed as right sided irreponible inguinal hernia. He was undergoing the elective surgery. Intra-operative, the hernia sac was laterally found in the inferior epigastric vessels and separated from sperm cord to deep inguinal ring. The hernia sac was opened. A non-inflamed appendix was seen. Appendectomy was performed, and the hernia was repaired by Halsted’s repair. Amyand’s hernia is a rare condition. The correct diagnosis is usually made intraoperative.   Keywords: Amyand’s hernia, appendectomy, hernia repair, inguinal hernia.

scholarly journals Right-sided Bochdalek hernia in an adult with hepatic malformation and intestinal malrotation

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Naoki Enomoto ◽  
Kazuhiko Yamada ◽  
Daiki Kato ◽  
Shusuke Yagi ◽  
Hitomi Wake ◽  
...  
Keyword(s):  
Elective Surgery ◽  
Abdominal Cavity ◽  
Three Dimensional ◽  
Simulation Software ◽  
3D Simulation ◽  
Diaphragmatic Defect ◽  
Intestinal Malrotation ◽  
Intestinal Loop ◽  
Bochdalek Hernia ◽  
The Right

Abstract Background Bochdalek hernia is a common congenital diaphragmatic defect that usually manifests with cardiopulmonary insufficiency in neonates. It is very rare in adults, and symptomatic cases are mostly left-sided. Diaphragmatic defects generally warrant immediate surgical intervention to reduce the risk of incarceration or strangulation of the displaced viscera. Case presentation A 47-year-old woman presented with dyspnea on exertion. Computed tomography revealed that a large part of the intestinal loop with superior mesenteric vessels and the right kidney were displaced into the right thoracic cavity. Preoperative three-dimensional (3D) simulation software visualized detailed anatomy of displaced viscera and the precise location and size of the diaphragmatic defect. She underwent elective surgery after concomitant pulmonary hypertension was stabilized preoperatively. The laparotomic approach was adopted. Malformation of the liver and the presence of intestinal malrotation were confirmed during the operation. The distal part of the duodenum, jejunum, ileum, colon, and right kidney were reduced into the abdominal cavity consecutively. A large-sized oval defect was closed with monofilament polypropylene mesh. No complications occurred postoperatively. Conclusion Symptomatic right-sided Bochdalek hernia in adults is exceedingly rare and is frequently accompanied by various visceral anomalies. Accurate diagnosis and appropriate surgical repair are crucial to prevent possible incarceration or strangulation. The preoperative 3D simulation provided comprehensive information on anatomy and concomitant anomalies and helped surgeons plan the operation meticulously and perform procedures safely.

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.

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