Strangulation and Necrosis of an Epiploic Appendage of the Sigmoid Colon in a Right Inguinal Hernia

An epiploic appendage of the sigmoid colon is considered to be an unusual type of inguinal hernia content. The strangulation of a sigmoid colon appendage into a right inguinal hernia is exclusively rare. We present a case of an 81-year-old female patient with severe cardiovascular comorbidities who...

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Main Authors: Yuri N. Shiryajev, Anna V. Glebova, Marina V. Chalenko
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2013/890234
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spelling doaj-9bdc941807944108afc5919dc3368a3e2020-11-24T21:26:02ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/890234890234Strangulation and Necrosis of an Epiploic Appendage of the Sigmoid Colon in a Right Inguinal HerniaYuri N. Shiryajev0Anna V. Glebova1Marina V. Chalenko2Department of Faculty Surgery named after Professor A.A. Rusanov, Saint Petersburg State Pediatric Medical University, Litovskaya Street 2, Saint Petersburg 194100, RussiaDepartment of Faculty Surgery named after Professor A.A. Rusanov, Saint Petersburg State Pediatric Medical University, Litovskaya Street 2, Saint Petersburg 194100, RussiaDepartment of Faculty Surgery named after Professor A.A. Rusanov, Saint Petersburg State Pediatric Medical University, Litovskaya Street 2, Saint Petersburg 194100, RussiaAn epiploic appendage of the sigmoid colon is considered to be an unusual type of inguinal hernia content. The strangulation of a sigmoid colon appendage into a right inguinal hernia is exclusively rare. We present a case of an 81-year-old female patient with severe cardiovascular comorbidities who was urgently admitted after an episode of strangulation and subsequent spontaneous reduction of a right inguinal hernia. The condition of the patient was stable, and an urgent operation was not indicated for three days after admission. However, we had to operate because the hernia strangulation recurred. In the hernia sac, a free fatty body (a separated and saponified epiploic appendage of the colon) and a strangulated epiploic appendage of dolichosigmoid, with signs of necrosis, were found. Removal of the free fatty body and necrotic epiploic appendage and subsequent anterior-wall inguinal hernioplasty were successfully performed. In the world literature, this case may be the first report of a sigmoid epiploic appendage strangulation in a right inguinal hernia that is well documented by photography.http://dx.doi.org/10.1155/2013/890234
collection DOAJ
language English
format Article
sources DOAJ
author Yuri N. Shiryajev
Anna V. Glebova
Marina V. Chalenko
spellingShingle Yuri N. Shiryajev
Anna V. Glebova
Marina V. Chalenko
Strangulation and Necrosis of an Epiploic Appendage of the Sigmoid Colon in a Right Inguinal Hernia
Case Reports in Surgery
author_facet Yuri N. Shiryajev
Anna V. Glebova
Marina V. Chalenko
author_sort Yuri N. Shiryajev
title Strangulation and Necrosis of an Epiploic Appendage of the Sigmoid Colon in a Right Inguinal Hernia
title_short Strangulation and Necrosis of an Epiploic Appendage of the Sigmoid Colon in a Right Inguinal Hernia
title_full Strangulation and Necrosis of an Epiploic Appendage of the Sigmoid Colon in a Right Inguinal Hernia
title_fullStr Strangulation and Necrosis of an Epiploic Appendage of the Sigmoid Colon in a Right Inguinal Hernia
title_full_unstemmed Strangulation and Necrosis of an Epiploic Appendage of the Sigmoid Colon in a Right Inguinal Hernia
title_sort strangulation and necrosis of an epiploic appendage of the sigmoid colon in a right inguinal hernia
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2013-01-01
description An epiploic appendage of the sigmoid colon is considered to be an unusual type of inguinal hernia content. The strangulation of a sigmoid colon appendage into a right inguinal hernia is exclusively rare. We present a case of an 81-year-old female patient with severe cardiovascular comorbidities who was urgently admitted after an episode of strangulation and subsequent spontaneous reduction of a right inguinal hernia. The condition of the patient was stable, and an urgent operation was not indicated for three days after admission. However, we had to operate because the hernia strangulation recurred. In the hernia sac, a free fatty body (a separated and saponified epiploic appendage of the colon) and a strangulated epiploic appendage of dolichosigmoid, with signs of necrosis, were found. Removal of the free fatty body and necrotic epiploic appendage and subsequent anterior-wall inguinal hernioplasty were successfully performed. In the world literature, this case may be the first report of a sigmoid epiploic appendage strangulation in a right inguinal hernia that is well documented by photography.
url http://dx.doi.org/10.1155/2013/890234
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AT annavglebova strangulationandnecrosisofanepiploicappendageofthesigmoidcoloninarightinguinalhernia
AT marinavchalenko strangulationandnecrosisofanepiploicappendageofthesigmoidcoloninarightinguinalhernia
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