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Diverticular abscess presenting as an incarcerated inguinal hernia.
Josh Greenberg1, Tracey D Arnell
1UCLA Medical Center, Los Angeles, California 90509, USA.
The American Surgeon
|May 5, 2005
Summary
A rare case of acute diverticulitis presented as a left inguinal hernia, mimicking an Amyand's hernia. The patient underwent successful open drainage and laparoscopic sigmoid resection during the same hospital stay.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Acute diverticulitis typically involves pericolonic or pelvic abscesses.
- Standard treatments include urgent surgery or percutaneous drainage.
Observation:
- A unique case presented with a diverticular abscess manifesting as a left inguinal hernia.
- This presentation is analogous to an Amyand's hernia (appendix in right inguinal hernia).
Findings:
- The patient received open drainage of the abscess within the hernia.
- Laparoscopic sigmoid resection was performed subsequently in the same hospitalization.
Implications:
- Highlights the unusual presentations of diverticular abscesses.
- Demonstrates successful management of a rare diverticular abscess in a left inguinal hernia.