Management of inflamed sigmoid diverticulum inside an incarcerated right inguinal hernia: Case report of a rare discovery

Kollatos, Christos; Sandblom, Gabriel

doi:10.1016/j.ijscr.2022.106996

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…We found eight cases of diverticular abscess manifesting as a complicated groin hernia [3,4,7-10], and 10 reports of diverticulitis being a content of groin hernia sac. Among these cases, one was cecal diverticulitis [11], another was transverse colon diverticulitis [5], and the remaining ones involved the sigmoid colon [12][13][14][15][16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Sigmoid Diverticulitis in a Tight Spot: An Atypical Presentation Within a Ventral Hernia

Ezeme,

Amaefule-Orie,

Yeung

et al. 2023

Cureus

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Ventral hernia and acute diverticulitis may present with similar symptoms posing difficulty in clinical diagnosis. Rarely, complicated sigmoid diverticulitis is found within an irreducible ventral hernia sac in the emergency setting. Intraoperative decision on the appropriate surgical option depends on the surgeon's experience and the patient's clinical state.We present a case of a middle-aged female who came in with infraumbilical hernia containing necrotic sigmoid diverticulitis. Her surgical history was cesarean section and total abdominal hysterectomy with a relook laparotomy. She had an emergency exploration of the hernia through a midline incision, excision of the necrotic diverticulum, and the formation of loop colostomy at the site of the hernia. Post-operative recovery was uneventful and she has been scheduled for an elective sigmoid colectomy and reversal of the stoma. This study highlights that complicated sigmoid diverticulitis can rarely present as an irreducible ventral hernia and that less is often more in safely getting patients out of trouble in an emergency.

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