Open AccessStone ingestion causing obstructed inguinal hernia with perforation
Author(s) -
Paiboon Sookpotarom,
Kansuda Ariyawatkul,
Py Paramagul,
Chanin Sakulisariyaporn,
Thaniya Stimat,
Paisarn Vejchapipat
Publication year - 2014
Publication title -
african journal of paediatric surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.163
H-Index - 17
eISSN - 0189-6725
pISSN - 0974-5998
DOI - 10.4103/0189-6725.132836
Subject(s) - medicine , inguinal hernia , surgery , perforation , vomiting , transverse colon , hernia , foreign body , general surgery , ingestion , punching , materials science , metallurgy
We report a rare case of obstructed right inguinal hernia caused by ingested stones. A 2 year-old boy from Northern Thailand was transferred to our hospital with low-grade fever, vomiting, and acute painful swelling at his right hemiscrotum for one day. The physical examination revealed marked enlargement with inflammation in his right hemiscrotum. The radiological findings showed huge number of stones in the right hemiscrotum. At surgery, the content of hernia sac was ascending colon, which was full of hard masses. With the help of additional lower transverse abdominal incision, the obstructed segment was successfully reduced and revealed a perforation. Most of the stones were removed through the perforation. The colonic wound was primarily repaired and both incisions were primarily closed. Although he developed post-operative wound infection, the boy had uneventfully recovered. The psychological exploration in this "stone pica" revealed no other psychological disorders.