Ileal Mass Presenting as Incarcerated Inguinal Hernia: A Rare Presentation
Ajay N *
Department of General Surgery, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India.
Ravi S
Department of General Surgery, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India.
Manjunath B D
Department of General Surgery, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India.
*Author to whom correspondence should be addressed.
Abstract
Background: This is a case report of ileal mass presenting as a content of incarcerated right inguinal hernia.
Presentation of Case: We present a case report of 75 years old male patient presented to the emergency with an obstructed right inguinal hernia. Patient was stabilized and taken up for surgery. Perioperative findings revealed right indirect hernia with ileal loop with mass infiltrating the right testis and bladder. The loop of ileum containing the mass was resected and anastomosed, right orchidectomy done, bladder separated from the mass. Anatomical repair of the inguinal hernia was done and the sample was sent to histopathology. HPE revealed chronic inflammatory lesion of the ileum with no microscopic infiltration into the testis and surrounding soft tissue. Patient had uneventful recovery and was discharged.
Keywords: Inguinal hernia, orchidectomy, incarceration, resection, anastomosis