A rare encounter of obstructed direct inguinal hernia

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 herni...

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Autores principales:	Amit Kumar Singh, Nripesh Rajbhandari, Balaram Malla, Gakul Bhatta
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2019
Materias:	Direct Hernia Obstructed Direct Inguinal Hernia Rare Case Surgery RD1-811
Acceso en línea:	https://doaj.org/article/966b8da212e14bb484812d71464a2e04
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spelling	oai:doaj.org-article:966b8da212e14bb484812d71464a2e042021-12-05T19:15:44ZA rare encounter of obstructed direct inguinal hernia10.3126/jssn.v22i2.287451815-39842392-4772https://doaj.org/article/966b8da212e14bb484812d71464a2e042019-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/28745https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 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. Amit Kumar SinghNripesh RajbhandariBalaram MallaGakul BhattaSociety of Surgeons of NepalarticleDirect HerniaObstructed Direct Inguinal HerniaRare CaseSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 22, Iss 2 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Direct Hernia Obstructed Direct Inguinal Hernia Rare Case Surgery RD1-811
spellingShingle	Direct Hernia Obstructed Direct Inguinal Hernia Rare Case Surgery RD1-811 Amit Kumar Singh Nripesh Rajbhandari Balaram Malla Gakul Bhatta A rare encounter of obstructed direct inguinal hernia
description	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.
format	article
author	Amit Kumar Singh Nripesh Rajbhandari Balaram Malla Gakul Bhatta
author_facet	Amit Kumar Singh Nripesh Rajbhandari Balaram Malla Gakul Bhatta
author_sort	Amit Kumar Singh
title	A rare encounter of obstructed direct inguinal hernia
title_short	A rare encounter of obstructed direct inguinal hernia
title_full	A rare encounter of obstructed direct inguinal hernia
title_fullStr	A rare encounter of obstructed direct inguinal hernia
title_full_unstemmed	A rare encounter of obstructed direct inguinal hernia
title_sort	rare encounter of obstructed direct inguinal hernia
publisher	Society of Surgeons of Nepal
publishDate	2019
url	https://doaj.org/article/966b8da212e14bb484812d71464a2e04
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A rare encounter of obstructed direct inguinal hernia

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