Department of General Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore,
Hernia. 2013 Dec;17(6):805-7. doi: 10.1007/s10029-012-0980-8. Epub 2012 Aug 22.
Foreign bodies causing perforation of hernias are extremely uncommon with only a few cases reported in the literature. Here, we present a case of a patient with ingestion of a foreign body, which was initially managed expectantly but developed a perforation due to the foreign body impacting and causing perforation of an irreducible inguinal hernia. Management of this condition usually involves resection of the involved loop of bowel with repair of the hernia defect at the time of surgery. Patients with ingested foreign bodies who have irreducible hernias have altered anatomy and should be considered for early surgical intervention to prevent complications.
疝穿孔的异物极为罕见,文献中仅报道了少数几例。在此,我们报告了 1 例患者因吞食异物导致疝穿孔的病例。该异物起初采用期待疗法进行治疗,但由于异物撞击导致不可还原的腹股沟疝穿孔。这种情况的治疗通常涉及切除受累肠环,并在手术时修复疝缺损。对于吞食异物且伴有不可还原疝的患者,其解剖结构发生改变,应考虑早期手术干预以预防并发症。