Perforated Carcinoma of the Sigmoid Colon in an Incarcerated Inguinal Hernia: Report of a Case
| Autor: | Andromachi Glinavou, John Raftopoulos, Gabriel Karatzas, Gregory Kouraklis, Efstratios Kouskos |
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| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Scrotal Hernia medicine.medical_treatment Perforation (oil well) Hernia Inguinal Colostomy Scrotum medicine Humans Aged Sigmoid Diseases business.industry General surgery Carcinoma Sigmoid colon General Medicine medicine.disease digestive system diseases Surgery Sigmoid Neoplasms Inguinal hernia medicine.anatomical_structure Intestinal Perforation Segmental resection Incarcerated Inguinal Hernia business |
| Zdroj: | Surgery Today. 33:707-708 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s00595-002-2552-5 |
| Popis: | Perforation of the large bowel due to benign or malignant disease in an inguinal hernia is very rare, but should be considered as a potential cause of strangulated hernias. A 79-year-old man with a 2-day history of scrotal swelling and pain in the left side associated with fever and chills was brought to our Emergency Department, where he was classified as American Society of Anesthesiologists IVE. A large left incarcerated scrotal hernia was diagnosed and surgical exploration was performed using local infiltration anesthesia. A standard oblique inguinal incision was made, revealing perforation of the sigmoid colon due to cancer. A 40-cm segmental resection of the sigmoid colon was done, and a double-barrel colostomy was made through the inguinal incision. This surgical strategy involving construction of a double-barrel colostomy through the inguinal hernia incision could be an alternative method of managing such critically ill patients. |
| Databáze: | OpenAIRE |
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