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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Series: | Case Reports in Surgery |
Online Access: | http://dx.doi.org/10.1155/2013/890234 |
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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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