回腸から上行結腸を内容物とした巨大鼠径ヘルニアの１例

DOI Web Site 被引用文献12件 参考文献15件

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  • A case of giant inguinal hernia which involved intestines from the ileum to ascending colon.

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A 42-year-old man was seen at the hospital because of a huge scrotum which started to enlarge since 5 years earlier and was recently pointed out by a friend. The scrotum distended to the size larger than a rugby ball, and the penis was depressed. Bowel movement could be observed on the surface of the scrotum. No symptoms of intestinal obstruction were present, but repositioning of the intestine by hand was impossible. Right not-reduced inguinal hernia was diagnosed. At surgery, large quantities of intestines from the ileum to ascending colon were adherent in a hernia sac. A thickening of the right spermatic cord was noted. The stomach and duodenum were towed close to the hernia opening. The adhered intestines were dissected from hernia sac and were reduced in the abdominal cavity. The posterior wall was reinforced by ileopubic tract repair, and then the colon was fixed over the hernia opening from the abdominal cavity, so that the hernia opening was made to be retroperitoneum. After the operation, respiratory failure and deep vein thrombosis occurred but were relieved. No recurrence of hernia has occurred up to now.

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