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Related Experiment Videos

Strangulated inguinal hernia presenting as haemoperitoneum.

David Alexander George1, James Hollingshead, Colin Elton

  • 1General Surgery Department, Barnet Hospital, Hertfordshire, UK. davidgeorge@doctors.org.uk

BMJ Case Reports
|September 11, 2012
PubMed
Summary
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A recurrent inguinal hernia caused omental herniation, leading to vessel avulsion and significant intra-abdominal bleeding (hemoperitoneum). Surgical repair confirmed omentum as the source of hemorrhage.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Inguinal hernias are common surgical conditions.
  • Recurrent inguinal hernias can present with complex complications.

Observation:

  • A 57-year-old male presented with abdominal pain and peritonism post-collapse.
  • Imaging revealed intra-abdominal fluid and a left iliac fossa hematoma.
  • Ultrasound-guided aspiration confirmed hemoperitoneum.

Findings:

  • Laparotomy identified a recurrent left inguinal hernia with omental herniation.
  • A significant hematoma was present in the left iliac fossa.
  • Hemorrhage originated from an avulsed omental blood vessel within the hernia sac.

Implications:

Related Experiment Videos

  • Omental herniation can lead to spontaneous intra-abdominal hemorrhage.
  • Recurrent inguinal hernias require careful evaluation for potential vascular complications.
  • This case highlights a rare cause of hemoperitoneum secondary to inguinal hernia.