A Case of Ischemic Stenosis of the Small Intestine after Reposition of an Incarcerated Inguinal Hernia

Chihiro Tono and Shuji Kawamura

Departmen of Surgery, Iwate Prefectural Esashi Hospital

We report a case of enterostenosis after reposition of an incarcerated inguinal hernia. A 72-year-old man experienced enterostasis caused by incarceration of a right inguinal hernia on October 1, 2003, repaired by taxis after admission. Seven days later the patient underwent radical surgery for the hernia and was discharged. On November 4, 27 days after surgery, he suffered from another intestinal obstruction involving stenosis of the small intestine. The stenosis was not improved by conservative therapy and required surgery on November 18. Two parts of the middle small intestine were stenotic, necessitating removal of 13 cm. Histological findings showed ischemic enteritis with stenotic change. Such patients should be carefully followed up after repair of an incarcerated inguinal hernia to help avoid delayed small bowel stenosis following ischemic enteritis.

Key words
incarcerated inguinal hernia, ischemic enteritis, enterostenosis

Reprint requests
Chihiro Tono Department of Surgery, Iwate Prefectural Esashi Hospital
5-23 Nishiodori, Esashi city, 023-1103 JAPAN

Accepted
May 25, 2004

To read the PDF file you will need Abobe Reader installed on your computer.