Perforated caecal diverticulum as a content of inguinal hernia — report of a rare case
| Autor: | Samik Kumar Bandyopadhyay, Om Tantia, Prakash Kumar Sasmal, Mayank Jain, Bimalendu Sen, Shashi Khanna |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
business.industry digestive oral and skin physiology Lumen (anatomy) Case Report medicine.disease Malignancy digestive system digestive system diseases Surgery Inguinal hernia Plastic surgery Cardiothoracic surgery Rare case Indirect inguinal hernia Ascending colon Medicine business |
| Zdroj: | Indian Journal of Surgery. 71:276-278 |
| ISSN: | 0973-9793 0972-2068 |
| DOI: | 10.1007/s12262-009-0072-x |
| Popis: | A tablet induced perforation of a caecal diverticulum into a hernial sac is a rare happening. The report discusses the presentation and outcome of a patient with such an unusual disease. A 55-year-old man presented with features of irreducible right sided indirect inguinal hernia. A hard swelling near upper pole of right testis was noted. Scrotal ultrasound revealed a normal testis. At operation caecum and proximal ascending colon were found in the hernial sac with the caecum adherent to the testis. As caecal malignancy could not be ruled out and enbloc Rt Haemicolectomy with Rt orchidectomy was performed. The patient had an uneventful recovery. Pathological examination of the specimen revealed a perforated caecal diverticulum with presence of multiple tablets in its lumen invaginating the upper pole of right testis without any evidence of malignancy. Tablet induced perforation of a caecal diverticulum into a hernial sac is a rare clinical entity. If malignancy cannot be negated at operation, a right haemicolectomy is a safe and feasible option. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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