scholarly journals Asymptomatic Meconium Peritonitis Presenting as Inguinal Hernia in a Female Neonate

2013 ◽  
Vol 2 (4) ◽  
pp. 43
Author(s):  
Sivasankar Jayakumar ◽  
Laila Hatsell ◽  
Nitin Patwardhan

Inguinal hernias in girls are often irreducible when they contain ovaries. Rarely the hernial sacs may have unusual contents like vermiform appendix, uterus and urinary bladder. We report a case of a female infant who presented with bilateral irreducible inguinal hernias presumed to be due to ovaries. However at exploration, the hernial sacs contained bilaterally an omental mass with calcifications. Presence of mucin with meconium- laden macrophages in the mass on histology suggested an antenatal intestinal perforation. To the best of our knowledge no such case has been reported in a female neonate. We present this rare case and discuss the unusual findings and the outcome.

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Ayaaz Habib

Involvement of the bladder in inguinal hernias is rare and occurs in less than 5% of the cases. The diagnosis and management of this condition may present a challenge to the surgeon. We present a case of an elderly gentleman who presented with a large left-sided inguinoscrotal hernia causing an obstructive uropathy which was surgically repaired. The patient made a quick postoperative recovery with complete resolution of renal function.


2021 ◽  
Vol 8 (4) ◽  
pp. 1337
Author(s):  
Arul K. Chinnappan ◽  
Shanthi P. Swaminathan ◽  
Vikas Kawarat ◽  
Rajeswari Mani ◽  
Indrajit Anandakannan ◽  
...  

Inguinal hernia in females is relatively uncommon as compared to males. It is interesting to note that 1 male in 5 and 1 female in 50 will eventually develop an inguinal hernia in a lifetime. The hernia sac may contain unusual structures such as the vermiform appendix, acute appendicitis, ovary, fallopian tube and, urinary bladder. Here we present a case of 20-year-old female presented with complaints of swelling in the right inguinal region. Diagnosed as a case of right inguinal hernia with Broad ligament cyst as content. Managed by laparoscopic excision of cyst and then right Lichtenstein repair for inguinal hernia.


2016 ◽  
Vol 111 ◽  
pp. S609-S610
Author(s):  
Jamie L. Skrove ◽  
John McDonald ◽  
David Choi ◽  
Aleksander Zywot ◽  
Leena Chacko. Saline ◽  
...  

2013 ◽  
Vol 11 (2) ◽  
pp. 172-173
Author(s):  
Sajid Ansari ◽  
PL Sah ◽  
K Dhungel ◽  
K Ahmad ◽  
MK Gupta ◽  
...  

Inguinal hernias are one of the differential diagnoses of inguinal masses in infants in both males and females. In females, an irreducible ovarian inguinal hernia tends to undergo torsion and sometimes infarction. Sonography should be used as the imaging modality of choice for the evaluation and characterization. We present a case of 19 days old female infant presented with right groin mass, diagnosed as right inguinal hernia containing right ovary on ultrasonography. Health Renaissance, January-April 2013; Vol. 11 No.1; 172-173 DOI: http://dx.doi.org/10.3126/hren.v11i2.8229


2021 ◽  
Author(s):  
Tianhao Xie ◽  
Shujie Cheng ◽  
Yan Fu ◽  
Xinli Sun ◽  
Xiangxiang Ren ◽  
...  

Abstract Background A direct inguinal hernia is caused by a weakness or defect in the floor of the Hesselbach triangle. It is believed that direct hernias are less likely to strangulate than indirect hernias, because the neck of the direct hernia is wide enough to avoid strangulation. Approximately 8.6% of all incarcerated inguinal hernia contents can be returned to the abdominal cavity spontaneously after general anesthesia, and intestinal ischemia or necrosis was detected by laparoscopic examination in approximately 40.9% of cases. However, which surgical approach or mesh for an acutely incarcerated and strangulated groin hernia is still no consensus. We retrospectively enrolled 12 patients with incarcerated inguinal hernias accompanied by small intestinal perforation who underwent laparoscopic examination when the hernia content spontaneously returned into the abdominal cavity after induction of general anesthesia in our institution.Results 1 of the 12 patients had developed temporary seroma; the other 2 had early postoperative pain. No evidence of hernia recurrence, chronic pain, infection, scrotal swelling, paralyticileus, persistent seroma, mortality, or any other complications were found during the follow-up. At 1 year and most recent follow-up, all patients were satisfied with the treatment outcome.Conclusions It is a necessary to detect abdominal viscera when incarcerated inguinal hernia contents return to the abdominal cavity spontaneously after general anesthesia, and laparoscopic examination is an efficient method. Laparoscopic TAPP technique with biologic meshes is a feasible method to treat strangulated inguinal hernias accompanied by small intestinal perforation. To better understand whether TAPP or biologic mesh apply to strangulated inguinal hernia (especially enterectomy) and evaluate its wider application, this treatment will need to be tested in larger clinical trials.


2013 ◽  
Vol 52 (189) ◽  
pp. 285-287 ◽  
Author(s):  
Ashis Pun ◽  
Roshan Khatri

The eponym ‘Amyand hernia’ coined in recognition of Claudius Amyand, the first surgeon to successfully perform appendectomy in a hernia sac containing appendix, refers to the vermiform appendix within inguinal hernia. Here, we present a rare case, of Amyand’s hernia in an 18 month-old boy who was brought with an inguino-scortal swelling which later on exploration was left sided Amyand’s hernia with sliding component. Amyand’s hernia is not very often seen in the clinical practice and its pre-operative diagnosis is very difficult hence awareness of this disease condition is essential for preoperative suspicion and even diagnosis of the condition. Keywords: Amyand’s hernia; acute appendicitis; hernial repair.


2014 ◽  
Vol 13 (2) ◽  
pp. 75-77
Author(s):  
Md Mahfuzul Haque ◽  
Bablu Kumar Saha ◽  
Rezbanul Haque ◽  
Shamima Nazma ◽  
Md Shadrul Alom

Inguinal hernia with uncommon contents in the hernia sac has been reported in the literature. Preoperative ultrasound can be helpful to diagnose the presence an uncommon content in the hernia sac. Here we report a rare case of female infant having bilateral inguinal hernia with sac containing ovary and fallopian tube with left sided torsion ovary.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21075


2010 ◽  
Vol 7 (2) ◽  
pp. 143-144
Author(s):  
VD Upadhyaya ◽  
V Kumar ◽  
P Srivastava ◽  
AN Gangopadhyaya

The chance of vermiform appendix lying with in a hernial sac is 1% or less and is known as Amyand's hernia and it is very rare in infant and neonate. Till date, only twenty cases had been reported in English literature. We are reporting a rare case of Amyand's hernia where appendix was present in right inguinal sac of non-obstructed inguinal hernia in a seven month old male infant during operation. The appendectomy was done along with right inguinal herniotomy. In most of the reported cases, appendix was inflamed or perforated, expect in one case where appendix was not inflamed but patient presented with inguinal hernia. This case is reported because of the rarity of Amyand's hernia in infant, the appendix was not inflamed, hernia was not obstructed, and whether in such types of cases appendix should be preserved or not. Key words: Amyand's hernia; infant; appendectomy DOI: 10.3126/kumj.v7i2.2708 Kathmandu University Medical Journal (2009) Vol.7, No.2 Issue 26, 143-144


2016 ◽  
Vol 27 (2) ◽  
pp. S83
Author(s):  
Chian-Shiung Lin ◽  
Chih-Cheng Lu ◽  
Chia-Ho Lin ◽  
Eric W. Fan ◽  
Tse-Chou Cheng

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