Diagnosis of an Inguinal Hernia after a Blunt Inguinal Trauma with an Intestinal Perforation. (9th March 2014)

• Record Type: Journal Article
• Authors: Moustafa, Farès; Avouac, Julien; Vaz, Marie-Aude; Schmidt, Jeannot
• Other Names: Akin M. Academic Editor.; Lai C. C. Academic Editor.; Papadopoulos V. Academic Editor.
• Is Part Of: Case reports in emergency medicine. Volume 2014(2014)
• Publication Date: 2014-03-09
• Subjects: Emergency medicine -- Periodicals; Emergency Medicine; Emergency medicine; Periodicals; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 616.025
• DOI: 10.1155/2014/653847
• Languages: English
• ISSNs: 2090-648X

Abstract

Abstract : Introduction . Inguinal hernias are very common in men. A clinical exam can do the diagnosis easily. But bowel perforation inside an inguinal hernia caused by a directly blunt trauma is rare and can have important consequences. Up to now, there have been a few case reports that described blunt injury to the inguinal area causing traumatic perforation of the bowel in the inguinal hernia. Case Report . We present a case of a 45-year-old Eastern European man with a small perforation of ileal bowels and a peritonitis after direct blunt trauma to the inguinal hernia region, with no inguinal hernia known by the patient, and show how the diagnosis can be difficult. Conclusion . This case shows that external forces, that may seem too trivial to cause intraperitoneal injury, can cause significant injury when applied to a patient with a hernia and shows how a careful examination, with the help of an abdominal CT scan, is important even if the patient do not seem to have an inguinal hernia.