Kumar Anil, Paswan Shiv Shankar, Paswan Anita, Kumari Rekha, Bhandari Vimal
Assistant Professor (Department of General Surgery), All India Institute of Medical Sciences, Patna, India.
Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
Int J Surg Case Rep. 2018;42:4-6. doi: 10.1016/j.ijscr.2017.11.018. Epub 2017 Nov 14.
An interparietal inguinal hernia is a rare form of hernia. In this type of hernia, the sac passes between the layers of the abdominal wall of the inguinal canal area. Although its treatment is very simple but pre-operative diagnosis is really a challenging issue.
A 62 years old male patient presented with complaint of a large swelling over right lower abdomen with absence of right testes since birth. The lump was measured 26×22cm in size. Ultrasonography (USG) and Contrast enhanced computed Tomography (CECT) failed to diagnose as interparietal inguinal hernia which was proved intra-operatively. Few cases have been reported in the medical literature like this.
Exploration revealed the large abdominal lump presenting as an interparietal inguinal hernia. Hernia sac was lying in between external & internal oblique muscles. The right testis was intraabdominal & atrophied. The external inguinal ring was almost completely obstructed.
An interparietal hernia with undescended testis is a very rare presentation. Even with USG & CT scan diagnosis is very challenging and final diagnosis can be made only intraoperatively.
腹间型腹股沟疝是一种罕见的疝类型。在这种类型的疝中,疝囊通过腹股沟管区域腹壁各层之间。尽管其治疗非常简单,但术前诊断确实是一个具有挑战性的问题。
一名62岁男性患者,主诉右下腹有一巨大肿块,自出生起右侧睾丸缺如。肿块大小为26×22cm。超声检查(USG)和增强计算机断层扫描(CECT)均未能诊断为腹间型腹股沟疝,术中证实为此病。医学文献中鲜有此类病例报道。
探查发现巨大腹部肿块为腹间型腹股沟疝。疝囊位于腹外斜肌和腹内斜肌之间。右侧睾丸位于腹腔内且萎缩。腹股沟外环几乎完全阻塞。
伴有隐睾的腹间型疝是一种非常罕见的表现。即使有超声检查和CT扫描,诊断也极具挑战性,最终诊断只能在术中做出。