Spontaneous direct inguinal hernia rupture and intestinal mesenteric separation: A case report Spontan rüptüre direkt inguinal herni ve intestinal mezenter ayrışması: Olgu sunumu
Ulusal Travma ve Acil Cerrahi Dergisi, cilt.26, sa.4, ss.647-649, 2020 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 26 Sayı: 4
- Basım Tarihi: 2020
- Doi Numarası: 10.14744/tjtes.2020.02435
- Dergi Adı: Ulusal Travma ve Acil Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.647-649
- Anahtar Kelimeler: Cachexia, malnutrition, mesenteric separation, spontaneous rupture direct inguinal hernia
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Spontaneous evisceration is a rare complication that becomes life-threatening in direct inguinal hernia. A female at the age of 44, weighing 50 kg looked cachectic and was suffering from swelling on the left groin for the last several years.The evisceration of the small intestine as separated from the mesenterium transpired in the subsequent stage of a spontaneous rupture in the left inguinal region after severe coughing.The region ruptured was sealed after small intestine resection carried out through the incision perforated; mesh herniorrhaphy was implemented at the end of the 3rd month. The spontaneous rupture may transpire depending on malnutrition and cachexia not only after the complications by hernia, such as incarceration, strangulation but also after factors increasing intra-abdominal pressure. Elective surgical treatment must be implemented in hernia regardless of its kind. Complications likely to transpire in cases where intervention is conducted too late may threaten the patient’s life.