Incarcerated gallbladder in inguinal hernia: a case report and literature review

Tajti, János; Pieler, József; Ábrahám, Szabolcs; Simonka, Zsolt; Paszt, Attila; Lázár, György

doi:10.1186/s12876-020-01569-5

Cited by 7 publications

(9 citation statements)

References 17 publications

(28 reference statements)

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“…Michele et al [ 10 ] reported a patient who was diagnosed with an inguinal hernia and whose preoperative CT examination findings showed that the hernia content was of the small intestine, but the postoperative pathological examination demonstrated that the hernia content included Hodgkin's lymphoma. Tajti et al [ 11 ] also reported a patient who was diagnosed with an inguinal hernia and whose preoperative US examination findings showed that the hernia content was of an edematous intestinal loop with no circulation detected, but the hernia content was found to be of the gallbladder that was incarcerated during the operation. Taskovska and Janez[ 12 ] reported a patient who was diagnosed with an inguinal hernia and whose preoperative US examination findings showed that the hernia contents were of aperistaltic small intestine loops without dilatation, but the hernia content was found to be of the urinary bladder.…”

Section: Discussionmentioning

confidence: 99%

Omental mass combined with indirect inguinal hernia leads to a scrotal mass: A case report

Liu

Yao

et al. 2021

WJCC

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BACKGROUND Primary omental tumors are uncommon, and omental fibromas account for 2% of these tumors. Due to the low incidence of omental fibromas and the limited relevant literature, it is challenging for clinicians to make an accurate diagnosis of this condition, especially before surgery. CASE SUMMARY A 30-year-old man was admitted to the hospital because of a left epididymal mass with vague discomfort for more than 1 mo. A physical examination was performed, and the findings showed that the epididymal mass may have entered the abdominal cavity. Pelvic computed tomography was performed in our hospital and revealed a left inguinal hernia with a mass in the hernial contents, and no masses were found in the left epididymis. A traditional inguinal hernia incision was made. Intraoperative hernia contents were found to be of the greater omentum, and a 2.5 cm-diameter mass was found at the distal end of the greater omentum. The scrotum and epididymis did not exhibit other masses. Then, the mass of the greater omentum was excised. Intraoperative frozen pathological examination suggested a spindle cell tumor. The postoperative pathological examination suggested that the mass was an omental angiofibroma. Postoperatively, the patient recovered well and was discharged. Outpatient re-examinations were performed at 1 mo and half a year after the operation and showed no obvious abnormalities. CONCLUSION Due to the low morbidity rate associated with and latent nature of omental tumors, these tumors are difficult to diagnose preoperatively; thorough medical history taking, detailed physical examinations, and necessary imaging auxiliary examinations can help clinicians diagnose and treat these cases.

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Section: Discussionmentioning

confidence: 99%

Omental mass combined with indirect inguinal hernia leads to a scrotal mass: A case report

Liu

Yao

et al. 2021

WJCC

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“…In type 4, poor gallbladder mesenteric attachment may occur, as in cases of liver atrophy or cirrhosis, peritoneal fat loss secondary to aging, and weight loss [7,13,20,21]. These abnormal attachments predispose the gallbladder to torsion, herniation, strangulation, and increased stone formation [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39].…”

Section: Floating Gallbladdermentioning

confidence: 99%

Gallbladder Position Anomalies: Clinical Impacts and Management

Redwan

2023

Gallbladder - Anatomy, Pathogenesis, and Treatment

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Gallbladder position anomalies are rare. Normally, the gallbladder is located at the inferior surface of the right lobe of the liver between segments IV and V, covered by the peritoneum, and attached to the liver by its mesentery in the gall bladder fossa. Any position other than this is defined as a gallbladder position anomaly. Gallbladder ectopia variants may include floating, intrahepatic, retroperitoneal, and left-sided gallbladder, among others. According to some literature, floating gallbladder is the most common among these anomalies, occurring in 4.6% of population; however, there is no clear and adequate data on incidence and variants of gallbladder position anomalies. Because of their rare occurrence and lack of specific clinical and imaging features, their possible presence and clinical sequelae are not usually considered in clinical practice. This results in delayed diagnosis and treatment of sequelae, such as in gallbladder volvulus (GBV). Similarly, gallbladder position and associated biliary tree and vascular anomalies should be identified during the preoperative period. Failing to do this may have devastating outcomes. Though clinical impacts and management of gallbladder position anomalies are explained in some literature, they are not well covered by most of the currently available surgical books. To fill this gap, this chapter discusses the embryology, variants, prevalence, clinical impacts, and management of ectopic gallbladder as well as ways to increase the rate of preoperative diagnosis and methods to decrease adverse outcomes and morbidity.

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“…Exceedingly rare contents of the hernia sac include the ureter [ 12 ], transverse colon [ 13 ], the pancreas [ 14 ], and the gallbladder [ 15 ]. The spleen [ 16 ] and the uterus [ 17 ] have also been documented in inguinal hernias in newborns with congenital disorders.…”

Section: Introductionmentioning

confidence: 99%

Gastric Outlet Obstruction from Stomach-Containing Groin Hernias: Case Report and a Systematic Review

Favela,

Argo,

McAllister

et al. 2023

JCM

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Most abdominopelvic structures can find their way to a groin hernia. However, location, and relative fixation are important for migration. Gastric outlet obstruction (GOO) from a stomach-containing groin hernia (SCOGH) is exceedingly rare. In the current report, we present a 77-year-old man who presented with GOO from SCOGH to our facility. We performed a review of the literature following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) of patients presenting with SCOGH since it was first reported in 1802. Ninety-one cases of SCOGH were identified (85 inguinal and six femoral) over the last two centuries (1802–2023). GOO from SCOGH occurred in 48% of patients in one review and 18% in our systematic analysis. Initial presentation ranged from a completely asymptomatic patient to peritonitis. Management varied from entirely conservative treatment to elective hernia repair to emergent laparotomy. Only one case of laparoscopic management was documented. Twenty-one deaths from SCOGH were reported, with most occurring in early manuscripts (1802–1896 [n = 9] and 1910–1997 [n = 10]). In the recent medical era, outcomes for patients with this rare clinical presentation are satisfactory and treatment ranging from conservative, non-operative management to surgical repair should be tailored towards patients’ clinical presentation.

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Incarcerated gallbladder in inguinal hernia: a case report and literature review

Cited by 7 publications

References 17 publications

Omental mass combined with indirect inguinal hernia leads to a scrotal mass: A case report

Omental mass combined with indirect inguinal hernia leads to a scrotal mass: A case report

Gallbladder Position Anomalies: Clinical Impacts and Management

Gastric Outlet Obstruction from Stomach-Containing Groin Hernias: Case Report and a Systematic Review

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