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Published in: Hernia 5/2009

01-10-2009 | Case Report

Isolated terminal ileum perforation after a kick blow to an inguinal hernia

Authors: F. Ersoz, S. Arikan, O. Ozcan, E. Sentatar

Published in: Hernia | Issue 5/2009

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Abstract

Small bowel perforation caused by direct blunt trauma to an inguinal hernia has rarely been reported. In this report, we present a patient with terminal ileum perforation after direct blunt trauma to an inguinal hernia region. Both perforation and hernia repair were managed surgically in the same stage. This case demonstrates that leaving an inguinal hernia unrepaired may lead to dangerous outcomes, such as intestinal strangulation and perforation. Inguinal hernias with intestinal perforation need urgent surgical intervention. It is possible to repair the intestinal perforation and inguinal hernia in the same operation.
Literature
1.
go back to reference Rutkow IM (1998) Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1990s. Surg Clin North Am 78:941–951PubMedCrossRef Rutkow IM (1998) Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1990s. Surg Clin North Am 78:941–951PubMedCrossRef
2.
go back to reference Reynolds RD (1995) Intestinal perforation from trauma to an inguinal hernia. Arch Fam Med 4:972–974PubMedCrossRef Reynolds RD (1995) Intestinal perforation from trauma to an inguinal hernia. Arch Fam Med 4:972–974PubMedCrossRef
3.
go back to reference Uppot RN, Gheyi VK, Gupta R, Gould SW (2000) Intestinal perforation from blunt trauma to an inguinal hernia. Am J Roentgenol 174:1538 Uppot RN, Gheyi VK, Gupta R, Gould SW (2000) Intestinal perforation from blunt trauma to an inguinal hernia. Am J Roentgenol 174:1538
4.
go back to reference O’Leary JP, MacGregor AMC (1975) Rupture of the intestine in patients with hernia. South Med J 68:463–467PubMed O’Leary JP, MacGregor AMC (1975) Rupture of the intestine in patients with hernia. South Med J 68:463–467PubMed
5.
go back to reference Oncel M, Kurt N, Eser M, Bahadir I (2003) Small bowel perforation due to blunt trauma directly to the inguinal region: a case report. Hernia 7:218–219PubMedCrossRef Oncel M, Kurt N, Eser M, Bahadir I (2003) Small bowel perforation due to blunt trauma directly to the inguinal region: a case report. Hernia 7:218–219PubMedCrossRef
6.
go back to reference Rai S, Chandra SS, Smile SR (1998) A study of the risk of strangulation and obstruction in groin hernias. Aust N Z J Surg 68:650–654PubMedCrossRef Rai S, Chandra SS, Smile SR (1998) A study of the risk of strangulation and obstruction in groin hernias. Aust N Z J Surg 68:650–654PubMedCrossRef
7.
go back to reference Mendez C, Jurkovich GJ (1998) Blunt abdominal trauma. In: Cameron JL (ed) Current surgical therapy, 6th edn. Mosby, St Louis, pp 928–933 Mendez C, Jurkovich GJ (1998) Blunt abdominal trauma. In: Cameron JL (ed) Current surgical therapy, 6th edn. Mosby, St Louis, pp 928–933
8.
go back to reference Stafford RE, McGonigal MD, Weigelt JA, Johnson TJ (1999) Oral contrast solution and computed tomography for blunt abdominal trauma: a randomized study. Arch Surg 134:622–627PubMedCrossRef Stafford RE, McGonigal MD, Weigelt JA, Johnson TJ (1999) Oral contrast solution and computed tomography for blunt abdominal trauma: a randomized study. Arch Surg 134:622–627PubMedCrossRef
9.
go back to reference Fang JF, Chen RJ, Lin BC, Hsu YB, Kao JL, Kao YC, Chen MF (1999) Small bowel perforation: is urgent surgery necessary? J Trauma 47:515–520PubMedCrossRef Fang JF, Chen RJ, Lin BC, Hsu YB, Kao JL, Kao YC, Chen MF (1999) Small bowel perforation: is urgent surgery necessary? J Trauma 47:515–520PubMedCrossRef
10.
go back to reference Nussbaumer P, Weber D, Hollinger A (2000) Traumatic perforation of the small intestine—a rare complication of inguinal hernia. Schweiz Rundsch Med Prax 89:934–936 Nussbaumer P, Weber D, Hollinger A (2000) Traumatic perforation of the small intestine—a rare complication of inguinal hernia. Schweiz Rundsch Med Prax 89:934–936
11.
go back to reference Gianom D, Fenner A (1995) Perforation of small intestine in patients with hernia. Chirurg 66:637–639PubMed Gianom D, Fenner A (1995) Perforation of small intestine in patients with hernia. Chirurg 66:637–639PubMed
12.
go back to reference Payson BA, Mage S (1962) Role of inguinal hernia in acute perforatin of small intestine secondary to blunt abdominal trauma. Ann Sur 156:944–950CrossRef Payson BA, Mage S (1962) Role of inguinal hernia in acute perforatin of small intestine secondary to blunt abdominal trauma. Ann Sur 156:944–950CrossRef
13.
go back to reference Voyles CR, Richardson JD, Bland KI, Tobin GR, Flint LM, Polk HC (1981) Emergency abdominal wall reconstruction with polypropylene mesh. Ann Surg 194:219–223PubMedCrossRef Voyles CR, Richardson JD, Bland KI, Tobin GR, Flint LM, Polk HC (1981) Emergency abdominal wall reconstruction with polypropylene mesh. Ann Surg 194:219–223PubMedCrossRef
14.
go back to reference van’t Riet M, de Vos van Steenwijk PJ, Bonjer HJ, Steyerberg EW, Jeekel J (2007) Mesh repair for postoperative wound dehiscence in the presence of infection: is absorbable mesh safer than non-absorbable mesh? Hernia 11:409–413 van’t Riet M, de Vos van Steenwijk PJ, Bonjer HJ, Steyerberg EW, Jeekel J (2007) Mesh repair for postoperative wound dehiscence in the presence of infection: is absorbable mesh safer than non-absorbable mesh? Hernia 11:409–413
15.
go back to reference Alaedeen DI, Lipman J, Medalie D, Rosen MJ (2007) The single-staged approach to the surgical management of abdominal wall hernias in contaminated Welds. Hernia 11:41–45PubMedCrossRef Alaedeen DI, Lipman J, Medalie D, Rosen MJ (2007) The single-staged approach to the surgical management of abdominal wall hernias in contaminated Welds. Hernia 11:41–45PubMedCrossRef
16.
go back to reference Vix J, Meyer C, Rohr S (1997) The treatment of incisional and abdominal hernia with a prostesis in potentially infected tissues: a series of 47 cases. Hernia 1:157–161CrossRef Vix J, Meyer C, Rohr S (1997) The treatment of incisional and abdominal hernia with a prostesis in potentially infected tissues: a series of 47 cases. Hernia 1:157–161CrossRef
17.
go back to reference Kelly ME, Behrman SW (2002) The safety and efficacy of prosthetic hernia repair in clean-contaminated and contaminated wounds. Am Surg 68(6):524–528PubMed Kelly ME, Behrman SW (2002) The safety and efficacy of prosthetic hernia repair in clean-contaminated and contaminated wounds. Am Surg 68(6):524–528PubMed
18.
go back to reference Haapaniemi S, Sandblom G, Nilsson E (1999) Mortality after elective and emergency surgery for inguinal and femoral hernia. Hernia 3:205–208CrossRef Haapaniemi S, Sandblom G, Nilsson E (1999) Mortality after elective and emergency surgery for inguinal and femoral hernia. Hernia 3:205–208CrossRef
Metadata
Title
Isolated terminal ileum perforation after a kick blow to an inguinal hernia
Authors
F. Ersoz
S. Arikan
O. Ozcan
E. Sentatar
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
Hernia / Issue 5/2009
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-009-0477-2

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