Lower gastrointestinal bleeding: an unusual manifestation of inguinal hernia

Lower gastrointestinal bleeding: an unusual manifestation of inguinal hernia

Inguinal hernia is a common condition that usually presents with swelling and mild groin discomfort. Complications include bowel obstruction and strangulation. We report a case of a 50 year-old man who developed lower gastrointestinal bleeding secondary to an indirect inguinal hernia. Colonoscopy sh...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery Vol. 12; no. 4; pp. 431 - 432
Main Authors: Chong, V. H., Jamaludin, A. Z. F., Mackie, H. A. J. A.
Format: Journal Article
Language:English
Published: Paris Springer-Verlag 01-08-2008
Springer Nature B.V
Subjects:
Abdominal Surgery
Case Report
Colonoscopy - methods
Diagnosis, Differential
Follow-Up Studies
Gastrointestinal Hemorrhage - diagnosis
Gastrointestinal Hemorrhage - etiology
Hernia, Inguinal - complications
Hernia, Inguinal - surgery
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Reconstructive Surgical Procedures - methods
Hernia
Complication
Endoscopy
Bleeding
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Description
Summary:Inguinal hernia is a common condition that usually presents with swelling and mild groin discomfort. Complications include bowel obstruction and strangulation. We report a case of a 50 year-old man who developed lower gastrointestinal bleeding secondary to an indirect inguinal hernia. Colonoscopy showed an ileocecal valve polyp, florid inflammation of cecum and ascending colon and ulcerations of the terminal ileum. Histology showed nonspecific colitis and angiodysplasia of the polyp. Surgical correction of the hernia led to the resolution of the endoscopic changes. The trauma associated with intermittent herniation of small bowel probably led to ischemia, resulting in the observed changes.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-008-0333-9