Caecal Volvulus Presenting as the Obstructed Right Inguinal Hernia.
Mahalingam Sudharshan1, Oseen Shaikh1, Rajapriyan Panneerselvam1
1Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus
|August 10, 2021
Summary
Caecal volvulus, a rare cause of bowel obstruction, occurred with strangulated inguinal hernia. Prompt surgical repair involving resection and anastomosis of gangrenous bowel segments led to successful patient recovery.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Abdominal Surgery
Background:
- Caecal volvulus is an uncommon cause of intestinal obstruction.
- Early surgical intervention is the standard management for caecal volvulus.
- Strangulated inguinal hernias require urgent surgical assessment and treatment.
Observation:
- A 55-year-old male presented with a one-day history of irreducible right inguinal hernia and pain.
- Clinical diagnosis was obstructed inguinal hernia.
- Surgical exploration revealed caecal volvulus within the hernia sac, complicated by gangrene of the distal ileum, redundant sigmoid, and ascending colon.
Findings:
- The surgical team performed resection and anastomosis of the gangrenous bowel segments.
- Herniorrhaphy and sigmoidopexy were also conducted.
- The patient experienced a complete recovery without postoperative complications.
Implications:
- This case highlights the rare but serious complication of caecal volvulus within a strangulated inguinal hernia.
- It underscores the importance of thorough surgical exploration in cases of obstructed hernias.
- Successful management demonstrates the efficacy of prompt surgical intervention in complex abdominal emergencies.
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