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Indirect inguinal hernia containing portosystemic shunt vessel: A case report
Masahiro Yura1, Kikuo Yo2, Asuka Hara2
1Department of Surgery, Hiratsuka City Hospital, Hiratsuka 2540065, Kanagawa, Japan. myura@ncc.go.jp.
World Journal of Clinical Cases
|February 1, 2021
Summary
Inguinal hernias containing portosystemic shunt vessels are rare. Imaging like ultrasound and CT is crucial for safe surgical repair in patients with portal hypertension.
Area of Science:
- General Surgery
- Vascular Surgery
- Hepatology
Background:
- Inguinal hernia repair is a common surgical procedure globally.
- Portosystemic shunt vessels can rarely be found within inguinal hernias.
Observation:
- A 72-year-old man presented with an indirect inguinal hernia containing an expanded portosystemic shunt vessel.
- Computed tomography (CT) confirmed the shunt vessel, previously noted due to liver cirrhosis.
Findings:
- Lichtenstein's herniorrhaphy was performed, identifying the shunt vessel within the hernia sac.
- Branches between the shunt vessel and testicular vein were carefully managed during repair.
Implications:
- Ultrasound is recommended for inguinal hernia patients with portal hypertension to identify atypical contents.
- CT imaging aids in planning safe surgical repair when shunt vessels are suspected.
