Garg Chaitanya P, Al Dulaimi Qahtan A
Surgery, Saqr Hospital, Emirates Health Services, Ras Al Khaimah, ARE.
Surgery, RAK Medical & Health Sciences University, Ras Al Khaimah, ARE.
Cureus. 2025 May 24;17(5):e84735. doi: 10.7759/cureus.84735. eCollection 2025 May.
Strangulated inguinal hernias are a common surgical emergency that requires prompt intervention to save the bowel. Perforation of the strangulated bowel loop inside the inguinal canal due to delayed presentation is known, but the occurrence of intraperitoneal proximal bowel perforation is exceedingly rare. This poses a unique challenge in terms of the surgical incision required and the type of hernia repair to be done. This case report describes a 44-year-old male who presented with a strangulated right inguinal hernia along with peritonitis. A midline exploratory laparotomy revealed two perforations in the proximal ileum, which were sutured primarily. The entire bowel was checked for any obvious gross pathology. The bowel wall did not appear inflamed, thickened, or constricted at any point. The strangulated bowel in the inguinal canal was viable and was reduced successfully, and the hernia was repaired through a separate inguinal incision using the nylon Darning technique. The patient had a full recovery with no recurrence at six-month follow-up.
绞窄性腹股沟疝是一种常见的外科急症，需要及时干预以挽救肠管。因就诊延迟导致腹股沟管内绞窄肠袢穿孔是已知的，但腹腔内近端肠穿孔的发生极为罕见。这在所需的手术切口和要进行的疝修补类型方面带来了独特的挑战。本病例报告描述了一名44岁男性，他因绞窄性右侧腹股沟疝伴腹膜炎就诊。中线剖腹探查发现近端回肠有两个穿孔，主要进行了缝合。对整个肠管检查有无明显的大体病理改变。肠壁在任何部位均未出现炎症、增厚或狭窄。腹股沟管内绞窄的肠管存活，成功还纳，通过单独的腹股沟切口采用尼龙缝补技术修补疝。患者完全康复，6个月随访无复发。
