Intestinal gangrene due to small bowel volvulus masquerading as strangulated inguinal hernia Adiagnostic dilemma

Authors

  • Janhavi V Sri Devaraja Urs University, Kolar
  • Prathiba N Sri Devaraja Urs University, Kolar
  • K. Mohan Kumar Sri Devaraja Urs University, Kolar
  • Nischal K Sri Devaraja Urs University,Tamaka, Kolar

DOI:

https://doi.org/10.7439/ijbar.v4i7.429

Abstract

Complicated inguinal hernia is a common surgical emergency. Rarely, hernias may pose a great surprise and complexity in their management.We report a 55 year old gentleman witha long standing history of irreducible right inguinal hernia who presented in shock with sudden increase in size of scrotum and obstipation for 1 day.A diagnosis of strangulated inguinal hernia was made and the patient was taken up for emergency surgery.On exploration the content in the sac was normal small bowel and faeculant smelling fluid. Abdomen was explored for inspecting the proximal bowel and to facilitate reduction of contents.But as a surprise small bowel volvuluswith gangrenous bowel was noted. Resection and anastomosis was done.This paper stresses the importance of having a high index of suspicion in all cases of strangulated hernia of a concomitant small bowel volvulus as its recognition and early surgical intervention is paramount in reducing the mortality associated with it.

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Author Biography

  • Nischal K, Sri Devaraja Urs University,Tamaka, Kolar
    Associate Professor, Department of Surgery

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Published

2013-07-28

Issue

Vol. 4 No. 7 (2013): Jul

Section

Case Report

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How to Cite

1.
Intestinal gangrene due to small bowel volvulus masquerading as strangulated inguinal hernia Adiagnostic dilemma. Int J of Biomed & Adv Res [Internet]. 2013 Jul. 28 [cited 2024 Oct. 18];4(7):484-6. Available from: https://ssjournals.co.in/index.php/ijbar/article/view/344