An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level
There are few reports of a transverse colon inguinal hernia; furthermore, an inguinal hernia perforating the scrotum is rare. Here we report the case of a 79-year-old man who died after developing an incarcerated colon inguinal hernia that perforated the scrotum and exhibited an air-fluid level. The...
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Wiley
2015-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/105183 |
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| author | Seisuke Ota Toshio Noguchi Tomoya Takao Takumi Sakamoto Yuichiro Kanie Ken-ichi Omae Shunji Fujie Yoshiaki Kanaya Akinori Kasahara Tadashi Matsumra |
| author_facet | Seisuke Ota Toshio Noguchi Tomoya Takao Takumi Sakamoto Yuichiro Kanie Ken-ichi Omae Shunji Fujie Yoshiaki Kanaya Akinori Kasahara Tadashi Matsumra |
| author_sort | Seisuke Ota |
| collection | DOAJ |
| description | There are few reports of a transverse colon inguinal hernia; furthermore, an inguinal hernia perforating the scrotum is rare. Here we report the case of a 79-year-old man who died after developing an incarcerated colon inguinal hernia that perforated the scrotum and exhibited an air-fluid level. The patient was referred to our hospital in November 2011 with a complaint of inability to move. Physical examination revealed an abnormally enlarged left scrotum and cold extremities. He reported a history of gastric cancer that was surgically treated more than 30 years ago. His white blood cell count and C-reactive protein level were elevated. Abdominal and inguinal computed tomography revealed that his transverse colon was incarcerated in the left inguinal canal. Free air and air-fluid level were observed around the transverse colon, suggestive of a perforation. The patient and his family refused any surgical intervention; therefore, he was treated with sultamicillin tosilate hydrate and cefotiam hydrochloride. However, he succumbed to panperitonitis 19 days after admission. The findings from this case indicate that the transverse colon can perforate into an inguinal hernia sac. |
| format | Article |
| id | doaj-art-07bee9648a0b47bfa8ea1c9019865087 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-07bee9648a0b47bfa8ea1c90198650872025-02-03T01:09:53ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/105183105183An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid LevelSeisuke Ota0Toshio Noguchi1Tomoya Takao2Takumi Sakamoto3Yuichiro Kanie4Ken-ichi Omae5Shunji Fujie6Yoshiaki Kanaya7Akinori Kasahara8Tadashi Matsumra9Department of Internal Medicine, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, JapanDepartment of Internal Medicine, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, JapanDepartment of Surgery, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, JapanDepartment of Radiology, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, JapanDepartment of Radiology, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, JapanDepartment of Radiology, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, JapanDepartment of Radiology, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, JapanDepartment of Surgery, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, JapanDepartment of Internal Medicine, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, JapanDepartment of Internal Medicine, Himeji St. Mary’s Hospital, 650 Nibuno, Himeji 670-0801, JapanThere are few reports of a transverse colon inguinal hernia; furthermore, an inguinal hernia perforating the scrotum is rare. Here we report the case of a 79-year-old man who died after developing an incarcerated colon inguinal hernia that perforated the scrotum and exhibited an air-fluid level. The patient was referred to our hospital in November 2011 with a complaint of inability to move. Physical examination revealed an abnormally enlarged left scrotum and cold extremities. He reported a history of gastric cancer that was surgically treated more than 30 years ago. His white blood cell count and C-reactive protein level were elevated. Abdominal and inguinal computed tomography revealed that his transverse colon was incarcerated in the left inguinal canal. Free air and air-fluid level were observed around the transverse colon, suggestive of a perforation. The patient and his family refused any surgical intervention; therefore, he was treated with sultamicillin tosilate hydrate and cefotiam hydrochloride. However, he succumbed to panperitonitis 19 days after admission. The findings from this case indicate that the transverse colon can perforate into an inguinal hernia sac.http://dx.doi.org/10.1155/2015/105183 |
| spellingShingle | Seisuke Ota Toshio Noguchi Tomoya Takao Takumi Sakamoto Yuichiro Kanie Ken-ichi Omae Shunji Fujie Yoshiaki Kanaya Akinori Kasahara Tadashi Matsumra An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level Case Reports in Medicine |
| title | An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level |
| title_full | An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level |
| title_fullStr | An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level |
| title_full_unstemmed | An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level |
| title_short | An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level |
| title_sort | incarcerated colon inguinal hernia that perforated into the scrotum and exhibited an air fluid level |
| url | http://dx.doi.org/10.1155/2015/105183 |
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