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Abscess in the inguinal hernial sac after peritonitis surgery: a case report

Satoshi Ikeda1, Haruka Takeda, Masanori Yoshimitsu

  • 1Department of Endoscopic Surgery and Surgical Science, Graduate School of Biomedical Science, Hiroshima University, Hiroshima, Japan. sikeda@hiroshima-u.ac.jp

World Journal of Gastroenterology
|February 28, 2009
PubMed

Insights

A rare inguinal hernia sac abscess developed post-peritonitis surgery in a rectal cancer patient. Surgical intervention included drainage, ileostomy, and subsequent hernioplasty with sac resection.

Area of Science:

  • General Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • Rectal cancer surgery can lead to complications like anastomotic leakage.
  • Peritonitis and subsequent surgical interventions increase infection risk.
  • Hernial sacs can become sites for unusual postoperative complications.

Observation:

  • A 60-year-old male developed an abscess in his left inguinal hernial sac five days post-operation.
  • The patient had undergone laparoscopic low anterior resection for rectal cancer, followed by peritoneal drainage and ileostomy for anastomotic leakage.
  • Computed tomography confirmed the presence of the abscess within the inguinal hernial sac.

Findings:

  • The case highlights an extremely rare presentation of an abscess within an inguinal hernial sac.
  • Postoperative abscess formation in a hernial sac is an uncommon complication.
  • Successful management involved hernioplasty and resection of the inflamed sac.

Implications:

  • This case underscores the importance of considering rare complications in postoperative patients.
  • Awareness of such presentations can aid in timely diagnosis and treatment.
  • Further research into risk factors and preventative strategies for rare surgical site infections is warranted.

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