Related Experiment Video
Updated: May 21, 2026
04:41
Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
A rare presentation of mass abdomen
Ambika P Dash1, Tapas Mishra, Md Ibrarullah
1Kalinga Hospital; Hi Tech Medical College and Hospital, Bhubaneshwar, India.
The Indian Journal of Surgery
|June 2, 2012
Summary
A rare complication of inguinal hernia surgery, a walled-off hematoma presenting as an intra-abdominal mass, was discovered eight years post-operation. This case highlights an unusual presentation of surgical complications.
Area of Science:
- Gastroenterology
- Surgical Complications
- Abdominal Surgery
Background:
- Inguinal hernia repair is a common surgical procedure.
- Complications, though infrequent, can arise years after surgery.
- Intra-abdominal masses require thorough investigation to determine etiology.
Purpose of the Study:
- To report a unique case of a delayed intra-abdominal mass following inguinal hernia surgery.
- To discuss the potential for unusual complications years after a seemingly routine procedure.
- To highlight the importance of considering surgical history in diagnosing abdominal masses.
Main Methods:
- Case report of an elderly male patient.
- Clinical and radiological assessment including laparotomy.
- Histopathological examination of the intra-abdominal mass.
Main Results:
- Patient presented with an intra-abdominal mass, initially diagnosed as a mesenteric cyst.
- Laparotomy revealed a thick-walled omental cyst containing necrotic material and 'linen thread knots'.
- The findings suggested a walled-off hematoma, a complication attributed to prior inguinal hernia surgery.
Conclusions:
- A walled-off hematoma is a rare, delayed complication of inguinal hernia surgery.
- This case underscores the importance of a comprehensive surgical history in diagnosing abdominal pathologies.
- Such a complication has not been previously reported in the literature.
Related Concept Videos
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:23Assessment of the Abdomen III: Palpation
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:25Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
01:25Assessment of the Abdomen I: Inspection and Auscultation
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...