Transverse Colon Diverticulitis Simulating Inguinal Hernia Strangulation: A First Report

Abstract

Background: Strangulation is the most serious complication of inguinal hernia. Diverticulitis, a common condition, is usually localized in the left colon. The association of complicated inguinal hernia and diverticulitis is rare. Methods: We report the case of a 73-year-old male patient who presented with a suspicion of strangulated inguinal hernia. Results: CT and operative findings showed transverse colon diverticulitis lodged in an incarcerated inguinal hernia without signs of strangulation. Surgical hernia repair was undertaken while the treatment of diverticulitis was conservative. Follow-up was uneventful. Conclusion: This is a first report of documented transverse colon diverticulitis simulating inguinal hernia strangulation.

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

“…It is very rare for a colonic diverticulum to herniate into an inguinal hernia. There are a few cases reporting perforated diverticulitis or a diverticular abscess presenting as an incarcerated inguinal hernia [6] , [7] , [8] , [9] . These cases were managed by resection of the colon involved with or without a stoma.…”

An unusual case of a strangulated right inguinal hernia containing the sigmoid colon

“…In most cases small intestine and omentum are usually contained in the hernia sac, but urinary bladder, fallopian tube with the ovary, Meckel's diverticulum, appendix and inflamed colonic diverticulum have also been reported. [6][7][8][9][10][11] Inguinal hernia sacs in 0.5% of cases contain malignancies, either of saccular origin or generating from the herniated organ, usually sigmoid, cecum and other parts of colon. [12][13][14] In our case the content of hernia sac was the strangulated loop of an otherwise normal sigmoid colon.…”

Acute Sigmoid Diverticulitis within an Incarcerated Inguinal Hernia in an Adult: A First Report

“…When involving the colon, operative management of incarcerated and/or strangulated hernias has revealed sacs containing diverticular abscesses, 1 perforated diverticuli, 2 and in one case transverse colon diverticulitis. 3 We present an unusual case of acute sigmoid diverticulitis within an incarcerated inguinal hernia. To our knowledge, this unique presentation has never been described before in the literature.…”