Abstract：
BACKGROUND: Incarcerated inguinal hernia is an irreducible but the blood supply to the contained part is intact, but developing towards strangulation. Diagnosis usually made by physical examination. The content of hernia sac may vary. The usual finding is a segment of small intestine and less commonly large intestine. Except in sliding hernia, the sigmoid colon is not common in inguinal hernia, especially on the right side.
METHODS: We report a rare case of an incarcerated right side inguinal hernia containing the sigmoid colon of a 65-year old male, diagnosed with physical examination and abdominal ultrasonography. This patient treated by reducing the content of hernia sac and herniorraphy in general surgery ward of Aliabad Teaching Hospital.
CONCLUSIONS: Inguinal hernia is the commonest of all groin hernia. Incarcerated inguinal hernia can lead to intestinal obstruction, strangulation and infarction. The content of inguinal hernia varies widely. In our case, the content of hernia sac was the incarcerated loop of sigmoid colon. The sigmoid colon is commonly found to herniate at the left inguinal region, but as a content of a right side inguinal hernia is rare.
CONCLUSIONS: The sigmoid colon as a content of a right side inguinal hernia is rare. Mesh repair has always been a subject of debate due to increased risk of mesh infection rates. Many patients present complications due to delayed elective repair of inguinal hernia.
METHODS: We report a rare case of an incarcerated right side inguinal hernia containing the sigmoid colon of a 65-year old male, diagnosed with physical examination and abdominal ultrasonography. This patient treated by reducing the content of hernia sac and herniorraphy in general surgery ward of Aliabad Teaching Hospital.
CONCLUSIONS: Inguinal hernia is the commonest of all groin hernia. Incarcerated inguinal hernia can lead to intestinal obstruction, strangulation and infarction. The content of inguinal hernia varies widely. In our case, the content of hernia sac was the incarcerated loop of sigmoid colon. The sigmoid colon is commonly found to herniate at the left inguinal region, but as a content of a right side inguinal hernia is rare.
CONCLUSIONS: The sigmoid colon as a content of a right side inguinal hernia is rare. Mesh repair has always been a subject of debate due to increased risk of mesh infection rates. Many patients present complications due to delayed elective repair of inguinal hernia.
摘要：
背景：嵌顿腹股沟疝是不可减少的，但所含部分的血液供应是完整的，而是朝着勒死的方向发展。通常通过体格检查进行诊断。疝囊的含量可能会有所不同。通常的发现是小肠的一部分，不太常见的大肠。除了滑动疝，乙状结肠在腹股沟疝中并不常见，尤其是在右边。
方法：我们报告了一例罕见的右侧腹股沟疝嵌顿，包括65岁男性的乙状结肠，通过体格检查和腹部超声检查诊断。该患者在Aliabad教学医院普外科病房通过减少疝囊和疝的内容物进行治疗。
结论：腹股沟疝是所有腹股沟疝中最常见的。嵌顿腹股沟疝可导致肠梗阻,绞窄和梗塞。腹股沟疝的内容差异很大。在我们的案例中,疝囊内容物为乙状结肠嵌顿环。乙状结肠通常在左侧腹股沟区突出，但作为内容的右侧腹股沟疝是罕见的。
结论：乙状结肠作为右侧腹股沟疝的内容物很少见。由于网状物感染率的风险增加,网状物修复一直是争论的主题。许多患者由于腹股沟疝的选择性修补术延迟而出现并发症。
方法：我们报告了一例罕见的右侧腹股沟疝嵌顿，包括65岁男性的乙状结肠，通过体格检查和腹部超声检查诊断。该患者在Aliabad教学医院普外科病房通过减少疝囊和疝的内容物进行治疗。
结论：腹股沟疝是所有腹股沟疝中最常见的。嵌顿腹股沟疝可导致肠梗阻,绞窄和梗塞。腹股沟疝的内容差异很大。在我们的案例中,疝囊内容物为乙状结肠嵌顿环。乙状结肠通常在左侧腹股沟区突出，但作为内容的右侧腹股沟疝是罕见的。
结论：乙状结肠作为右侧腹股沟疝的内容物很少见。由于网状物感染率的风险增加,网状物修复一直是争论的主题。许多患者由于腹股沟疝的选择性修补术延迟而出现并发症。
