Abstract
We report the case of a 41-year-old man with a known right inguinal hernia presenting with groin pain following a fall while dog walking. Operative findings showed a small bowel perforation affecting the loop of bowel in the hernial sac. Bowel perforations caused by blunt abdominal injury in patients with an inguinal hernia is a rare and not well recognised problem, and are confined to a handful of case reports in the surgical literature.
References
Jenkins JT, O’ Dwyer PJ (2008) Inguinal hernias. BMJ 336:269–272
Vyas BK, Saha SM, Choskshi RM (1966) The association of inguinal hernia with traumatic perforation of the intestine. J Indian Med Assoc 46:156–157
Reynolds RD (1995) Intestinal perforation from trauma to an inguinal hernia. Arch Fam Med 4:972–974
Uppot RN, Gheyi VK, Gupta R, Gould SW (2000) Intestinal perforation from blunt trauma to an inguinal hernia. Am J Roentgenol 174:1538
Gianom D, Fenner A (1995) Perforation of small intestine in patients with small hernia (in German with English abstract). Chirurg 66:637–639
Kuc K, Drozdz J, Trzosinski R (1969) Blunt abdominal injury as a cause of rupture of the small intestine within the sac of an inguinal hernia (in Polish). Pol Przegl Chir 4:1062–1063
Nussbaumer P, Weber D, Hollinger A (2000) Traumatic perforation of the small intestine- a rare complication of inguinal hernia (in German with English abstract). Schweiz Rundsch Med Prax 89:934–936
Vucetich N, Andresen M, Hasbun P, Regueira T, Ibanez L, Gonzalez A (2009) Intestinal perforation secondary to blunt inguinal trauma in a soccer player: A case report. J Emerg Med [Epub ahead of print]
Oncel M, Kurt N, Eser M, Bahadir I (2003) Small bowel perforation due to blunt trauma directly to the inguinal region: a case report. Hernia 7:218–219
O’Leary JP, Macgregor AMC (1975) Rupture of the intestine in patients with hernia. South Med J 68:463–467
Payson BA, Mage S (1962) Role of inguinal hernia in acute perforation of the small intestine secondary to blunt abdominal trauma. Ann Sur 156:944–950
Neuhaus V, Turina M, Colombo G, Soklic P, Simmen HP (2009) Intestinal perforation following blunt abdominal trauma in patients with pre-existing inguinal hernia. Chirurg 80:231–237
Ersoz F, Arikan S, Ozcan O, Sentatar E (2009) Isolated terminal ileum perforation after a kick blow to an inguinal hernia. Hernia 13:565–567
StaVord RE, McGonigal MD, Weigelt JA, Johnson TJ (1999) Oral contrast solution and computed tomography for blunt abdominal trauma: a randomized study. Arch Surg 134:622–627
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Shahin, Y., Sahota, G., Hotouras, A. et al. Small bowel perforation due to blunt trauma to an inguinal hernia: a case report and literature review. Hernia 16, 349–350 (2012). https://doi.org/10.1007/s10029-010-0755-z
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DOI: https://doi.org/10.1007/s10029-010-0755-z