Department of Surgery, Tygerberg Hospital, Stellenbosch University, South Africa.
S Afr J Surg. 2022 Sep;60(3):204-206. doi: 10.17159/2078-5151/SAJS3488.
We present a case of a young male patient with no previously known medical, surgical or psychiatric history, who was referred to our institution as an irreducible left inguinal hernia with signs of strangulation. Intraoperative findings, however, revealed a retained foreign body at the rectosigmoid junction, which had previously perforated through the floor of the inguinal canal, essentially sealing off the contamination into the inguinal canal and contributing to the clinical presentation of a left inguinal hernia. This is, to our knowledge, the first published case report locally and internationally concerning rectosigmoid-inguinal canal perforation with the working end of a screwdriver.
我们报告了一例年轻男性患者，既往无医学、外科或精神病史，因左侧腹股沟不可复性疝伴绞窄就诊于我院。然而，术中发现直肠乙状结肠交界处有一遗留的异物，此前已穿过腹股沟管底部，基本上将污染封闭在腹股沟管内，导致左侧腹股沟疝的临床表现。据我们所知，这是国内外首例关于螺丝刀工作端导致直肠乙状结肠-腹股沟管穿孔的病例报告。
