Rectosigmoid screwdriver perforation presenting as a strangulated inguinal hernia.

Area of Science:

• Gastroenterology
• Surgical Case Reports

Background:

• Inguinal hernias are common surgical conditions.
• Strangulation presents as a surgical emergency.

Observation:

• A young male presented with an irreducible left inguinal hernia and signs of strangulation.
• Intraoperative findings revealed a retained foreign body.

Findings:

• A screwdriver's working end perforated the rectosigmoid junction and inguinal canal floor.
• The perforation sealed contamination, mimicking a hernia.

Implications:

• This case represents a unique presentation of rectosigmoid-inguinal canal perforation.
• Highlights the importance of considering rare etiologies in complex presentations.