In a retrospective study of 133 cases of inguinal hernia in infants and children upto the age of14 years, treated surgically at Western Regional Hospital, Pokhara, Nepalbetween April 1st 1997 and March 31st 1999, it was found that male patients out numberfemale patients in the ratio of 13.7:1 Right sided hernia was almost twice as common ascompared to left. Only 1.5% of patients (2cases) had bilateral inguinal hernia. 4patients (3%) presented with obstructive features. Routine exploration of contralateralside was not done as most surgeons do not recommend this, as only 20% develop herniaon the contralateral side.1 Only one patient had recurrent hernia.Key words: Congenital, hernia, inguinal, retrospective, incarceration.
A 40 year old man known to have cryptorchidism, presented with acute intestinal obstruction.At laparotomy stricture of the distal ileum, distended small intestine with enlarged multiplemesenteric and pelvic nodes were found. Right hemicolectomy was done and biopsies of mesentericand pelvic lymph nodes proved the tumour to be malignant carcinoid tumour withmetastasis to lymph nodes. Biopsy of the atrophied right testis showed presence of seminalvesicles.KEY WORDS: carcinoid tumour, obstruction, small intestine, cryptorchidism
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