PP 33. Strangulated Inguinal Hernia Of Bladder And Small Bowel
M. Erikoglu, S. Dogan, H. Hakkı Taskapu
18:22 - 18:28h
at Margrit Room
Categories: Abdominal Wall and Hernia, Plastic and Reconstructive Surgery, Poster Session
Session: Poster (P3) - Abdominal Wall & Hernia / Plastic & Reconstructive Surgery
Background
In the inguinal hernia sac, the bladder is very rare. The aim of this study is to present a rare case of strangulated inguinal hernia, including bladder and bowel necrosis.
Material and Methods
A male patient, 80 years old, was admitted to our clinic with swelling, abdominal swlling and pain, nausea, vomiting and an inabilitiy to defecate. On physical examination, a skin rash, edema, and a painful palpable mass about 6x8cm were detected on the right inguinal region. Abdominal distention, rebound and defense were positive. Laboratory tests showed leukocyte levels were normal, but urea, creatinin, and CRP levels were elevated. Direct abdominal radiography revealed a few air-fluid levels in the small bowel. The patient was operated on for a strangulated inguinal
hernia.
Result
In the operation,we saw the small bowel and bladder were necrotic, and we found a large perforation in the small bowel. Because of the infected area, the necrotic small bowel was resected and a double barrel ileostomy was performed. A partial cystectomy was performed on the necrotic bladder. The area was then irrigated with serum physiological solution. In the postoperative period, the intubated patient was monitored in the intensive care unit. On the postoperative first day, the patient died because of multiorgan failure.
Conclusion
To our knowledge, cases involving both bladder and small bowel necrosis have not been reported in the literature. As a result, when elderly patients are operated on for strangulated hernia, necrosis of the bladder should also be considered.
