A Case of Ischemic Entritis with Right Direct Inguinal Hernia

Takashi Sakakibara, Minoru Moriwaki, Hitoshi Funabiki, Noburu Sakakibara, Noriyuki Kuwabara¹⁾

First Department of Surgery, Juntendo University School of Medicine
First Department of Pathology, Juntendo University School of Medicine¹⁾

A 63-year-old man was admitted to our hospital with FUO. Progressive anemia and ileus were present. A small intestinal series and angiography led to a preoperative diagnosis of ischemic enteritis with right direct inguinal hernia. Partial ileorectomy and hernioplasty were performed. In the patient, the contents of the hernia were identical with those of a lesion of the ileum, which showed signs of moderate arteriosclerosis. Increasing intestinal pressure due to the hernia, combined with moderate arteriosclerosis, was thought to be the cause. Histologically, the main lesion consisted of granulation of the surface and fibrosis in the muscles. Fever and bleeding were present without sudden abdominal pain or peritonitis in the relatively slow course of the disease.

Key words
ischemic entritis

Reprint requests
Takashi Sakakibara First Department of Surgery, Juntendo University School of Medicine
2-1-1 Hongo, Bunkyo-ku, Tokyo, 113 JAPAN

Accepted
September 12, 1990

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