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Enteroscrotal Fistula: A Rare Complication of Incarcerated Inguinal Hernia  [PDF]
Muhammad Sharif,Lubna Ijaz,Shahid Iqbal,Afzal Sheikh
APSP Journal of Case Reports , 2010,
Abstract: Inguinal hernia is a frequent surgical condition encountered of pediatric age group. It may get incarcerated and at times strangulated requiring prompt intervention. However if lesion is not treated timely a host of complications may occur. Enteroscrotal fistula is one such rare complication that may follow such discourse. We report a case of 25-days old male neonate who presented with enteroscrotal fistula due to incarcerated right inguinal hernia. Patient was explored through abdomen and the involved part of ileum was resected and ileo-ileal anastomosis performed.
Incarcerated Giant Incisional Ventral Hernia Complicated by Hernial Sac Phlegmon, Unformed Enteric Fistula and Peritonitis  [PDF]
V.P. Glabai,R.Ya. Temirsultanov,А.V. Arkharov,А.V. Isaev
Sovremennye Tehnologii v Medicine , 2012,
Abstract: Current case-report demonstrates the features of successful surgical treatment of patient with incarcerated giant recurrent incisional ventral hernia complicated by unformed enteric fistulae, hernial sac phlegmon and diffuse peritonitis. Success of treatment proves the possibility of definitive surgery application in peritonitis in patient with latent organ dysfunction due to timely radical source control and developed post-operative measures.
A rare case of Amyand’s hernia presenting as an enterocutaneous fistula
L Flood,KH Chang,OJ McAnena
Journal of Surgical Case Reports , 2010,
Abstract: The finding of the vermiform appendix in an inguinal hernia has an incidence of approximately 1%. The condition is given the eponymous name Amyand’s hernia. However in just 0.08% the condition is complicated by an acute appendicitis. The clinical presentation varies, depending on the extent of inflammation of the appendix and is most often misdiagnosed as an incarcerated inguinal hernia. As such it is rarely recognised prior to surgical exploration. We report a case of Amyand’s hernia in an 85 year old woman, which presented as a right groin enterocutaneous fistula. CT scanning illustrated a fistulous tract in the right groin, which communicated with the caecum and the peritoneal cavity. She underwent laparotomy, which revealed that the appendix appeared inflamed, lay in the inguinal canal and was the origin of the enterocutaneous communication.
Complicated umbilical hernia in childhood
RA Brown, A Numanoglu, H Rode
South African Journal of Surgery , 2006,
Abstract: Umbilical hernias occur frequently in children but complications are rarely reported. This study assessed the incidence of complicated umbilical hernias in our patients, evaluated data for risk factors and reviewed our management in the light of these findings. We conducted a prospective study of all children needing umbilical hernia repair for complications over a period of 15 years. Patients with para-umbilical and other ventral wall hernias were excluded. In total, 389 children had umbilical hernias repaired during this period (average age 6 years); 28 (7%) of these had complicated hernias. Symptoms included umbilical pain (100%), vomiting (71%) and constipation (28%). The average age of the complicated group was 3 years. All cases had a painful irreducible umbilical mass. Eleven of the 19 children who had an abdominal radiograph showed radiological evidence of small-bowel obstruction and in 5 children there was radiological evidence of pica. Two patients had ischaemic omentum that required resection. Patients who present with localised abdominal pain or an irreducible umbilical mass should be operated on promptly. South African Journal of Surgery Vol. 44 (4) 2006: pp. 136-137
Gh. Ghidirim,I. Mi?in,S. Ignatenco,Elina ?or
Jurnalul de Chirurgie , 2010,
Abstract: Scrotal faecal fistula is a rare complication of incarcerated inguinal hernia. We report a case of a 54-year-old male, who presented fistula following prolonged incarceration of a left inguinal hernia (the presence of a caecum and vermiform appendix in a hernia sac). The patient presented himself to the emergency department with the diagnosis of a Fournier's gangrene. On second postoperative day after debridement of the scrotal fasciitis a enterocutaneous fistula in the scrotum was diagnosed as result of a strangulated inguinal hernia. The patient was treated by right hemicolectomy with an anastomosis and routine hernia repair was performed. Postoperative period was uneventful. The aetiology and management of this rare complication is discussed.
True hermaphroditism presenting as an inguinal hernia
Ceylan, Kadir;Algun, Ekrem;Gunes, Mustafa;Gonulalan, Hasan;
International braz j urol , 2007, DOI: 10.1590/S1677-55382007000100011
Abstract: a 21-year-old patient with cryptorchidism was found to have a left inguinal mass on physical examination. the patient was operated with a diagnosis of bilateral cryptorchidism and left inguinal hernia. besides bilateral inguinal undescended testicles, female genital organs like fallopian tubes, uterus and ovary were found on the exploration.
Multifactorial dyspahgia complicated by esophago-bronchial fistula  [cached]
Sebastian Julie,Kirankumar V,Pappachan Joseph,Zachariah Sue
Journal of Cancer Research and Therapeutics , 2007,
Abstract: Dysphagia in an elderly patient necessitates urgent clinical evaluation to exclude the possibility of an underlying esophageal malignancy. Atherosclerotic aortic aneurysms are common in old age, but dysphagia aortica resulting from compression of the esophagus by an aortic aneurysm is a rare cause for dysphagia. Development of a malignant esophago-airway fistula can occur from a variety of tumors, the most common of which is esophageal cancer. A case of longstanding dysphagia resulting from dysphagia aortica later developing an esophageal malignancy complicated by esophago-bronchial fistula is outlined in this unique case report.
Hernia de Amyand: presentación de un caso y revisión de la literatura
Revista chilena de cirugía , 2007, DOI: 10.4067/S0718-40262007000200011
Abstract: the presence of an acute appendicitis in an incarcerated inguinal hernia, termed amyand's hernia, is an uncommon and rare condition estimated to be found in approximately 0.13% of adult inguinal hernia repairs. the usual clinical presentation is as a complicated inguinal hernia; this is why the preoperative diagnosis of acute appendicitis requires a high clinical suspicion, even though the diagnosis of amyand's hernia is done mainly during surgery. computed tomography is a good diagnostic method. the treatment is surgical, and consists of an appendectomy with primary repair of the hernia. synthetic mesh should not be used in the repair of contaminated abdominal wall defects, because the prosthetic material can increase the inflammatory response and result in wound infection and a possible appendiceal stump fistula. we report a 75 years old man who presented with a complicated inguinal hernia, in whom the diagnosis of acute appendicitis was made during surgery after opening the hernia sac
Pericardial Window Formation Complicated by Intrapericardial Diaphragmatic Hernia  [PDF]
Jeremy Docekal,Thomas Fabian
Case Reports in Surgery , 2014, DOI: 10.1155/2014/132170
Abstract: In rare circumstances, a diaphragmatic defect may allow for herniation of intra-abdominal contents into the pericardial space. These occurrences are exceedingly rare and may be due to trauma or congenital defects of the septum transversum or as the result of surgical procedures. We describe a 73-year-old female who presented with cardiac and abdominal symptoms one month after undergoing a subxiphoid pericardioperitoneal window for treatment and evaluation of a symptomatic pericardial effusion. 1. Introduction We report a case of intrapericardial herniation occurring one month after pericardioperitoneal window formation. We further discuss the controversies surrounding the choice of therapy in the treatment of pericardial tamponade. 2. Case Report The first reported case of intrapericardial diaphragmatic hernia was published in 1903, which was congenital in origin [1]. The vast majority of these cases are due to blunt trauma of the chest or abdomen [2]. In comparison to trauma, iatrogenic causes of intrapericardial herniation are exceedingly rare [2, 3]. Surgical procedures which have been complicated by the herniation of intra-abdominal contents into the pericardial cavity include coronary artery bypass grafting, subxiphoid epicardial pacemaker insertion, and after-creation of a pericardial window [3]; see Figure 2. A 73-year-old female, with a history of renal transplant occurring in 2008, developed shortness of breath and fatigue while on immunosuppressive agents. The patient was subsequently found to have a moderate sized pericardial effusion with tamponade physiology by echocardiography and large bilateral pleural effusions. The woman underwent subxiphoid pericardioperitoneal window formation with the subsequent extraction of approximately 400?mL of free flowing serous fluid. In addition, the patient underwent bilateral pleural drainage via chest tubes placed during the same procedure. The patient tolerated the procedure well with symptomatic relief and was discharged home without complication. One month after pericardial window formation, the patient presented to the emergency room with acute epigastric abdominal pain. The patient also described a nonproductive cough, mild shortness of breath, obstipation, and vomiting. At the time of admission, the patient’s vital sounds were notable for decreased pulse pressure. A systolic ejection murmur was auscultated on cardiac exam. Pulmonary examination demonstrated adventitious inspiratory breath sounds, dullness to percussion, and egophony at the right lung base. Additionally, the patient’s abdomen was
Spontaneous scrotal faecal fistula: A rare complication of incarcerated inguinal hernia in infancy
Sowande O,Adejuyigbe O,Ogundoyin O,Uba A
Journal of Indian Association of Pediatric Surgeons , 2006,
Abstract: Spontaneous scrotal faecal fistula is a rare complication of incarcerated inguino-scrotal hernia in the neonate and infants. Only five previous cases have been reported in the English medical literature. We report another case of a 28-day-old neonate, who presented with fecal fistula following prolonged incarceration of a right inguino-scrotal hernia. The etiology and management of this rare complication is discussed.
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