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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 5, Issue 3, 2013 pp 130-131

Case Report

Acute Direct Inguinal Hernia Resulting from Penetrating Abdominal Trauma: Case Report

 
Meghraj Chawada¹, Utkarsh Ghavghave²

Academic Editor : Dr. Aher K.R.

We report a case of traumatic inguinal hernia following penetrating abdominal trauma after a bull horn injury and describe the circumstances and technique of repair. The patient suffered a sudden penetration of bull horn while feeding it and developed acute swelling of the right groin. USG scan confirmed the acute formation of a traumatic inguinal hernia. Surgical repair was deferred until resolution of the acute swelling and subcutaneous haematoma. But the patient develops sudden obstructive symptoms and the indication for surgery was the potential for visceral strangulation or ischaemia with the patient describing discomfort on coughing and constipation. At surgery there was complete obliteration of the inguinal canal with bowel and omentum lying immediately beneath the attenuated external oblique aponeurosis. A resection anastomosis was performed for  strictured ileal loop and hernia repair was performed after reconstructing the inguinal ligament and canal in layers and approximating fascia transversalis. To our knowledge, this is the first documented case of the formation of an acute direct inguinal hernia caused as a result of penetrating abdominal trauma with complete disruption of the inguinal canal. Surgical repair outlines the principles of restoration of normal anatomy in a patient who is physiologically recovered from the acute trauma and whose anatomy is distorted as a result of his injuries.