Work

Strangulated Inguinal Hernia With Intraperitoneal Proximal Bowel Perforation: An Unusual Presentation

Year: 2025

Type: article

Abstract: Strangulated inguinal hernias are a common surgical emergency that requires prompt intervention to save the bowel. Perforation of the strangulated bowel loop inside the inguinal canal due to delayed presentation is known, but the occurrence of intraperitoneal proximal bowel perforation is exceedingly rare. This poses a unique challenge in terms of the surgical incision required and the type of hernia repair to be done. This case report describes a 44-year-old male who presented with a strangulated right inguinal hernia along with peritonitis. A midline exploratory laparotomy revealed two perforations in the proximal ileum, which were sutured primarily. The entire bowel was checked for any obvious gross pathology. The bowel wall did not appear inflamed, thickened, or constricted at any point. The strangulated bowel in the inguinal canal was viable and was reduced successfully, and the hernia was repaired through a separate inguinal incision using the nylon Darning technique. The patient had a full recovery with no recurrence at six-month follow-up.

Source: Cureus

DOI: 10.7759/cureus.84735

Authors: Chaitanya P Garg, Qahtan A Al Dulaimi

Institution: Ras al-Khaimah Medical and Health Sciences University

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4410714867