RESUMEN
The diagnosis of an inguinal hernia, be it complicated or uncomplicated, is often simple and straight forward. Rarely, this simple presentation may be the external manifestation of a distant pathology, which is in communication with the inguinal canal through its anatomic relationship. We report a case of ruptured abdominal aortic aneurysm (AAA) that presented as a strangulated left inguinal hernia. To the best of our knowledge, this is the first reported case where the patient was stable on initial presentation, both clinically and biochemically. The only clue for our patient that pointed towards a potential aneurysm was the presence of intra-operative blood in the spermatic cord. We conclude that any patient presenting with symptoms suggestive of a hernia, particularly on the left side, should have a thorough assessment to rule out AAA.
Asunto(s)
Aneurisma de la Aorta Abdominal/diagnóstico , Rotura de la Aorta/diagnóstico , Errores Diagnósticos , Hernia Inguinal/diagnóstico , Anciano , Aneurisma de la Aorta Abdominal/cirugía , Rotura de la Aorta/cirugía , Resultado Fatal , Hernia Inguinal/cirugía , Humanos , Masculino , Reoperación , Tomografía Computarizada por Rayos XRESUMEN
In this communication we report 4 cases of gastric volvulus seen at the Department of Surgery University College Hospital, Ibadan, over a four-year period giving a hospital incidence of one case per year. The often difficult diagnosis and mode of management is presented along with a review of world literature. One of our cases is the fifth case of combined organomesenteroaxial volvulus in a child reported in world literature.