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2014, Number 4

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Med Sur 2014; 21 (4)

Contenido inusual del saco herniario. Hernias raras o poco comunes

González-Chávez MA, Huacuja-Blanco RR, López-Caballero C, Lemus-Ramírez RI, Villegas-Tovar E, Vélez-Pérez FM, López-Ramírez AY, Correa-Rovelo JM, Torres-Villalobos GM

Language: Spanish
References: 34
Page: 177-181
PDF size: 128.27 Kb.


ABSTRACT

Hernia surgery is one of the most frequent procedures done by surgeons - pediatric and general surgeons. Hernias are sometimes unusual because of the contents of their sacs. The General Surgeon should know how to proceed when faced with this type of hernia. Within this category we can include the Amyand’s hernia, De Garengeot’s hernia, Littre’s hernia, Petit’s hernia, Grynfeltt-Lesshaft hernia, Richter’s hernia, Spigelian hernia and Romberg’s hernia. We report the case of a 75 years old patient with a history of surgical procedure for placement of ventriculoperitoneal shunt to treat a Hakim Adams syndrome. He seeks medical help, it refers increasing volume at the right groin without accompanying symptoms. The diagnosis of right inguinal hernia is established and corroborated by an ultrasound of the region. Surgical management was decided. As surgical findings were reported: hernia sac containing bowel loops and ventriculoperitoneal shunt catheter. The hernia sac offers endless challenges that require a General Surgeon for effective resolution.


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