Strangulated Femoral Hernia with Perforated Jejunal Pseudo Diverticulum: a Case Report

Introduction: Sixty percent of femoral hernias are characterized by incarceration and strangulation. Jejunal pseudo diverticulum are rare and usually asymptomatic. It may cause chronic obstruction of small bowel and can lead to an acute perforation. Case presentation: An 85 – year – old woman prese...

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Autor principal:	Vito Ekasaputra
Formato:	article
Lenguaje:	EN
Publicado:	Universitas Sultan Agung Semarang 2018
Materias:	hernia femoral strangulated pseudodiver ticulum perforated management Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9581154c543547efb1cd2c62fba173af
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spelling	oai:doaj.org-article:9581154c543547efb1cd2c62fba173af2021-11-25T13:16:01ZStrangulated Femoral Hernia with Perforated Jejunal Pseudo Diverticulum: a Case Report2085-15452339-093X10.26532/sainsmed.v9i1.2316https://doaj.org/article/9581154c543547efb1cd2c62fba173af2018-06-01T00:00:00Zhttp://jurnal.unissula.ac.id/index.php/sainsmedika/article/view/2316https://doaj.org/toc/2085-1545https://doaj.org/toc/2339-093XIntroduction: Sixty percent of femoral hernias are characterized by incarceration and strangulation. Jejunal pseudo diverticulum are rare and usually asymptomatic. It may cause chronic obstruction of small bowel and can lead to an acute perforation. Case presentation: An 85 – year – old woman presenting with 1 week history of generalized abdominal pain, with episodes of vomiting, fever, and history of 6 months of reponible femoral hernia and 2 weeks strangulated of femoral hernia. An abdominal X-ray displayed multiple dilated loops of the small bowel, coil spring sign and intra peritoneal free air. This patient underwent a laparotomy and hernioraphy, which identified single perforated jejunal pseudo diverticulum 50 cm from ligamentum of treitz orally from strangulated of ileal on femoral hernia site, and associated fecal contamination. The management for this case was perforation repaired with diverticulectomy, simple closure, and extensive washout of intraperitoneal cavity. The non tension femoral hernia repair was performed with monofilament, macroporous MESH. Conclusion: chronic intestinal obstruction caused by femoral hernia in the elderly can lead a performed of intestinal pseudo diverticulum and lead to significant morbidity and mortality. This could be suspected in those presenting with cramping abdominal pain and altered bowel habits. Keywords: hernia, femoral, strangulated, pseudo diverticulum, perforated, managementVito EkasaputraUniversitas Sultan Agung Semarangarticleherniafemoralstrangulatedpseudodiver ticulumperforatedmanagementMedicine (General)R5-920ENSains Medika, Vol 9, Iss 1 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	hernia femoral strangulated pseudodiver ticulum perforated management Medicine (General) R5-920
spellingShingle	hernia femoral strangulated pseudodiver ticulum perforated management Medicine (General) R5-920 Vito Ekasaputra Strangulated Femoral Hernia with Perforated Jejunal Pseudo Diverticulum: a Case Report
description	Introduction: Sixty percent of femoral hernias are characterized by incarceration and strangulation. Jejunal pseudo diverticulum are rare and usually asymptomatic. It may cause chronic obstruction of small bowel and can lead to an acute perforation. Case presentation: An 85 – year – old woman presenting with 1 week history of generalized abdominal pain, with episodes of vomiting, fever, and history of 6 months of reponible femoral hernia and 2 weeks strangulated of femoral hernia. An abdominal X-ray displayed multiple dilated loops of the small bowel, coil spring sign and intra peritoneal free air. This patient underwent a laparotomy and hernioraphy, which identified single perforated jejunal pseudo diverticulum 50 cm from ligamentum of treitz orally from strangulated of ileal on femoral hernia site, and associated fecal contamination. The management for this case was perforation repaired with diverticulectomy, simple closure, and extensive washout of intraperitoneal cavity. The non tension femoral hernia repair was performed with monofilament, macroporous MESH. Conclusion: chronic intestinal obstruction caused by femoral hernia in the elderly can lead a performed of intestinal pseudo diverticulum and lead to significant morbidity and mortality. This could be suspected in those presenting with cramping abdominal pain and altered bowel habits. Keywords: hernia, femoral, strangulated, pseudo diverticulum, perforated, management
format	article
author	Vito Ekasaputra
author_facet	Vito Ekasaputra
author_sort	Vito Ekasaputra
title	Strangulated Femoral Hernia with Perforated Jejunal Pseudo Diverticulum: a Case Report
title_short	Strangulated Femoral Hernia with Perforated Jejunal Pseudo Diverticulum: a Case Report
title_full	Strangulated Femoral Hernia with Perforated Jejunal Pseudo Diverticulum: a Case Report
title_fullStr	Strangulated Femoral Hernia with Perforated Jejunal Pseudo Diverticulum: a Case Report
title_full_unstemmed	Strangulated Femoral Hernia with Perforated Jejunal Pseudo Diverticulum: a Case Report
title_sort	strangulated femoral hernia with perforated jejunal pseudo diverticulum: a case report
publisher	Universitas Sultan Agung Semarang
publishDate	2018
url	https://doaj.org/article/9581154c543547efb1cd2c62fba173af
work_keys_str_mv	AT vitoekasaputra strangulatedfemoralherniawithperforatedjejunalpseudodiverticulumacasereport
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Strangulated Femoral Hernia with Perforated Jejunal Pseudo Diverticulum: a Case Report

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