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.
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。