Multiple complicated concurrent hernias with rare findings: A case report. (June 2022)

• Record Type: Journal Article
• Authors: Ali, Mahamudu Ayamba; Hagbevor, Israel; Abedi, Emmanuel
• Is Part Of: International journal of surgery open. Volume 43(2022)
• Publication Date: 2022-06
• Subjects: Multiple complicated hernias -- Occult hernias -- Groin exploration -- Complicated hernias -- Case reports; SSI Surgical Site Infection -- AH Amyand Hernia -- EHS European Hernia Society -- MMCH Margaret Marquart Catholic Hospital -- ASA American Society of Anaesthesiologist; Surgery -- Periodicals; 617.005
• DOI: 10.1016/j.ijso.2022.100480
• Languages: English
• ISSNs: 2405-8572

Abstract

Abstract: Introduction and importance: Occult hernias mostly are asymptomatic with no positive signs on physical examination. They are difficult to diagnose before surgery, especially in resource-deprived health facilities with no advanced imaging or endo-laparoscopic setup. As the standard treatment in such centres, open surgery is traumatic, has slow recovery, and has many complications. Case presentation: A 76-year female with many predisposing factors presented with typical clinical symptoms and physical examination of complicated hernias. An incidental left Amyand hernia and right occult femoral hernia with incarcerated ovary was detected upon a further right femoral region exploration. She had a rare successful same time multiple hernia repairs after visceral surgeries with unremarkable recovery. Clinical discussion: We initially believed her concurrent overt multiple hernias rather than concealed hernia with other rare viscera involvement noticed during surgery was responsible for her symptoms. Conclusion: Groins herniation points must be explored for occult hernias and complicated viscera in overt symptomatic multiple concurrent hernias.