An inguinal hernia 'hard to stomach'.
Shawn Liechty1, Andrew D Eiref1, Keerthivasan Vengatesan1
1Department of Surgery, Danbury Hospital, 24 Hospital Ave, Danbury, CT 06810, USA.
Journal of Surgical Case Reports
|August 1, 2023
Summary
This report details the first known case of a stomach in an inguinal hernia in a female patient, which led to gastric perforation. The patient survived emergency surgery and recovered after a complex hospital stay.
Area of Science:
- Gastroenterology
- Surgical Case Reports
- Abdominal Surgery
Background:
- Inguinal hernias are common, but stomach herniation is exceptionally rare.
- Gastric involvement in inguinal hernias has not been previously documented in female patients.
Observation:
- A 79-year-old female presented with septic shock due to a left inguinal hernia.
- The hernia sac contained the stomach, which had perforated, leading to loss of domain.
Findings:
- Emergency exploratory laparotomy was performed for hernia reduction and gastric resection.
- Surgical repair involved biological mesh for fascial closure, with a complicated but successful recovery.
Implications:
- This case expands the understanding of rare inguinal hernia complications.
- Highlights the critical need for prompt diagnosis and surgical intervention in suspected incarcerated hernias.
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