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Stone ingestion causing obstructed inguinal hernia with perforation
Paiboon Sookpotarom1, Kansuda Ariyawatkul, Py Paramagul
1Department of Pediatric Surgery, Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Nonthaburi, Thailand.
African Journal of Paediatric Surgery : AJPS
|May 21, 2014
Summary
A rare case of obstructed right inguinal hernia in a child was caused by ingested stones. Surgical intervention successfully removed the stones and repaired the colon, leading to recovery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Ingested foreign bodies can cause gastrointestinal obstruction.
- Inguinal hernias are common in children, but obstruction by ingested material is rare.
Observation:
- A 2-year-old boy presented with symptoms of intestinal obstruction and a swollen right hemiscrotum.
- Radiological imaging revealed a large number of stones within the right hemiscrotum.
- Surgical exploration identified the ascending colon, filled with stones, as the content of the hernia sac.
Findings:
- The obstructed colon segment was successfully reduced after an additional abdominal incision.
- A perforation in the colon was found and most stones were removed through it.
- The colonic perforation was repaired, and the incisions were closed, with the patient recovering well despite a wound infection.
Implications:
- This case highlights the importance of considering unusual causes of intestinal obstruction in pediatric patients.
- Stone pica, though rare, can lead to severe complications like hernia obstruction and perforation.
- Prompt surgical management is crucial for favorable outcomes in such cases.
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