Perforated diverticulitis of the sigmoid colon contained within an inguinal hernia sac.
Gastrointestinal surgery
General surgery
Urology
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
06 May 2019
06 May 2019
Historique:
entrez:
8
5
2019
pubmed:
8
5
2019
medline:
4
12
2019
Statut:
epublish
Résumé
We present a patient with perforated diverticulitis contained within an inguinal hernia sac-a diagnostic and treatment dilemma. A 61-year-old man presented to the emergency department with left testicular and groin pain, and loose stool. CT imaging showed a left inguinal hernia containing a perforated segment of sigmoid colon. A segmental sigmoidcolectomyy and end colostomy Hartmannn's procedure) was performed after reducing the incarcerated inguinal contents. The inguinal hernia was not repaired because of faecal contamination of the hernia sac and risk for recurrence. Pathological examination of theresectedd bowel specimen showed perforated sigmoid diverticulitis in an inguinal hernia sac. The patient had an uneventful recovery and is awaiting definitive inguinal hernia repair andtakedownn of his colostomy.
Identifiants
pubmed: 31061191
pii: 12/5/e227990
doi: 10.1136/bcr-2018-227990
pmc: PMC6510151
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Int J Colorectal Dis. 2016 Apr;31(4):935-6
pubmed: 26293789
Int J Colorectal Dis. 2014 Nov;29(11):1361-7
pubmed: 24986140
Korean J Urol. 2015 Jan;56(1):3-11
pubmed: 25598931
Dis Colon Rectum. 2014 Mar;57(3):284-94
pubmed: 24509449
Dig Dis Sci. 2004 May;49(5):883-4
pubmed: 15259514
Br J Surg. 1991 Oct;78(10):1171-3
pubmed: 1958976
Lancet. 2004 Feb 21;363(9409):631-9
pubmed: 14987890
Hernia. 2018 Feb;22(1):1-165
pubmed: 29330835
Hernia. 2008 Aug;12(4):421-3
pubmed: 18004499
Indian J Surg. 2009 Oct;71(5):276-8
pubmed: 23133172
Int J Epidemiol. 1997 Apr;26(2):459-61
pubmed: 9169186
JAMA. 2006 Jan 18;295(3):285-92
pubmed: 16418463