Indirect inguinal hernia containing portosystemic shunt vessel: A case report
| Autor: | Akira Hirata, Asuka Hara, Hiroto Fujisaki, Masahiro Yura, Motohito Nakagawa, Yuki Tajima, Kumiko Hongo, Kiminori Takano, Yasushi Kaneko, Kikuo Yo, Kimiyasu Yoneyama, Keita Hayashi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Shunt vessel medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Right Inguinal Region Case report medicine Outpatient clinic Hernia Portal hypertension business.industry Inguinal hernia General Medicine Portosystemic shunt Hernia repair medicine.disease Inguinal canal Surgery medicine.anatomical_structure surgical procedures operative 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Lichtenstein’s herniorrhaphy business |
| Zdroj: | World Journal of Clinical Cases |
| ISSN: | 2307-8960 |
| Popis: | Background Inguinal hernia repair is one of the most common general surgical operations worldwide. We present a case of indirect inguinal hernia containing an expanded portosystemic shunt vessel. Case summary We report a 72-year-old man who had a 4 cm × 4 cm swelling in the right inguinal region, which disappeared with light manual pressure. Abdominal-pelvic computed tomography (CT) revealed a right inguinal hernia containing an expanded portosystemic shunt vessel, which had been noted for 7 years due to liver cirrhosis. We performed Lichtenstein's herniorrhaphy and identified the hernia sac as being indirect and the shunt vessel existing in the extraperitoneal cavity through the internal inguinal ring. Then, we found two short branches between the expanded shunt vessel and testicular vein in the middle part of the inguinal canal and cut these branches to allow the shunt vessel to return to the extraperitoneal cavity of the abdomen. The hernia sac was returned as well. We encountered no intraoperative complications. After discharge, groin seroma requiring puncture at the outpatient clinic was observed. Conclusion If an inguinal hernia patient has portal hypertension, ultrasound should be used to determine the contents of the hernia. When atypical vessels are visualized, they may be shunt vessels and additional CT is recommended to ensure the selection of an adequate approach for safe hernia repair. |
| Databáze: | OpenAIRE |
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