Pipal Dharmendra K, Waseem Khan Abdul, Verma Vijay, Yadav Seema, Kumar Purohit Lakhan
General, Colorectal and Minimal Access Surgery, All India Institute of Medical Sciences, Gorakhpur, Gorakhpur, IND.
General Surgery, Dr. Sampurnanand Medical College, Jodhpur, IND.
Cureus. 2022 May 6;14(5):e24784. doi: 10.7759/cureus.24784. eCollection 2022 May.
An inguinoscrotal hernia is considered to be giant when it passes beyond the midpoint of the thigh in a standing position. It is a rare condition that can lead to complications such as obstruction and perforation. Here, we present the case of a 35-year-old male who was diagnosed with a giant inguinoscrotal hernia with transverse colon perforation peritonitis. The patient presented with acute abdomen and septic shock. On presentation, resuscitation was started and an emergency laparotomy was performed. Resection of the gangrenous bowel segment and end jejunostomy was done as damage control surgery. However, despite intensive care and efforts, the patient succumbed due to multiorgan dysfunction syndrome (MODS). This is a rare case of a giant inguinoscrotal hernia with transverse colon perforation peritonitis, leading to MODS and mortality.
腹股沟阴囊疝在站立位时疝内容物超过大腿中点则被认为是巨大疝。这是一种罕见的疾病，可导致诸如梗阻和穿孔等并发症。在此，我们报告一例35岁男性患者，其被诊断为巨大腹股沟阴囊疝伴横结肠穿孔性腹膜炎。患者表现为急腹症和感染性休克。就诊时，立即开始复苏并进行了急诊剖腹手术。作为损伤控制手术，切除了坏死肠段并进行了空肠造口术。然而，尽管给予了重症监护和积极治疗，患者仍因多器官功能障碍综合征（MODS）死亡。这是一例罕见的巨大腹股沟阴囊疝伴横结肠穿孔性腹膜炎导致MODS和死亡的病例。
