Department of Surgery Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku Kyoto, 606-8507, Japan.
Hernia. 2012 Dec;16(6):723-5. doi: 10.1007/s10029-011-0806-0. Epub 2011 Mar 11.
We present the case of a 79-year-old man with an irreducible and painful left groin mass. Obtaining a detailed history of present illness and assessment of radiological findings revealed an abscess in a groin hernia sac, which was formed secondary to perforation of the descending colon. Various examinations, however, failed to reveal the cause of the bowel perforation. Percutaneous drainage improved his symptoms. He was discharged home 24 days after admission with no further sequelae. An abscess in a groin hernia sac is very rare. Although neither bowel perforation nor hernia is rare, surgeons do not sufficiently consider the possibility of an abscess in a groin hernia sac. Thus, surgeons often encounter unexpected abscesses in the groin hernia sac during operations. Our case points to the necessity of obtaining a detailed history of present illness as well as assessment of radiological findings, and presents a therapeutic option for an abscess in a groin hernia sac.
我们报告了一例 79 岁男性患者，其左侧腹股沟区存在不可复位且疼痛的肿块。详细的现病史采集和影像学评估显示，腹股沟疝囊内存在脓肿，继发于降结肠穿孔。然而，各种检查均未能发现肠穿孔的原因。经皮引流后患者症状改善。他在入院后 24 天出院，无任何后遗症。腹股沟疝囊脓肿非常罕见。尽管肠穿孔和疝均不罕见，但外科医生并未充分考虑腹股沟疝囊脓肿的可能性。因此，外科医生在手术中经常会遇到腹股沟疝囊内的意外脓肿。我们的病例提示，有必要详细采集现病史并评估影像学结果，并为腹股沟疝囊脓肿提供一种治疗选择。
