Strangulated Left Inguinal Hernia with Jejunal Perforation Complication in Five-Day-Old Full-Term Neonate: A Case Report
DOI:
https://doi.org/10.52783/jns.v14.1606Keywords:
Inguinal Hernia, Jejunal Perforation, Neonate, StrangulatedAbstract
Background
Inguinal hernia in children is the foremost common surgical pathology and the biggest reason for referral to the pediatric surgeon. Strangulated inguinal hernia is the foremost important and dreaded complication due to strangulation of the sac contents. A rare complication of incarcerated inguinal hernia in neonates and infants is strangulation.
Case Presentation
A 5-day-old newborn male presented with a strangulated left inguinal hernia and was operated on emergently. At surgery, the hernia contained a loop of jejunal with perforation. The jejunal perforation was resected, and we performed an end-to-end anastomosis. No leakage was observed from the anastomosis. The hernia sac is then highly ligated with a non-absorbable suture.
Conclusion
Strangulated hernia in 5-day-old full-term neonates is rare. The longer the onset of the hernia, the greater the risk of complications will happen.
Downloads
Metrics
References
Raherison AR, Andriamanarivo LRC, Andriantsoa AAA, Hunald FA, Andriamanrivo ML. Management of Incarcerated Inguinal Hernia in Children at the University Hospital of Antananarivo - Joseph Ravoahangy Andrianavalona. European Journal of Clinical Medicine. 2022;4(3):72-74.
Naiditch JA, Schindel DT. Inguinal Hernia in a Preterm Neonate Complicated by Strangulation and Subcutaneous Hernia Sac Rupture. Pediatr Neonatol. 2017;58(4):376-377.
Kurtulus S. Strangulation in a premature infant with an inguinal hernia in the neonatal intensive care unit. Journal of Medical Case Reports and Case Series. 2022;3(7):1-3.
Talabi A, Sowande O, Tanimola A, Adumah C, Adejuyigbe O. Incarcerated and strangulated inguinal hernias in children: A 10-year retrospective analysis. Libyan International Medical University Journal. 2020;05(01):3-7.
Rashedul Alam M, Mohammad Atiquzzaman T, Abdus Sattar M, Hasanuzzaman M, Haque S. Incarcerated inguinal hernia in children: A retrospective study of clinical outcome. MedPulse International Journal of Surgery. 2022;22(3).
Yeap E, Nataraja RM, Pacili M. Inguinal hernias in children. AJGP. 2020;49(1-2):38-43.
Christoffer S, Olesen K, Andresen S, Öberg S, Lykke D, Rosenberg J. Timing of inguinal hernia repair in children Timing of inguinal hernia repair in children varies greatly among hernia surgeons varies greatly among hernia surgeons. Original Article Dan Med J. 2021;68(1):1-8.
Ameen IT, Abdul-Ghafoor RH, Abdul-Ghafoor BH. Evaluation of risk factors and outcome of incarcerated inguinal hernia in pediatric age group. Indian Journal of Forensic Medicine and Toxicology. 2020;14(1):259-264.
Singh AP, Ramesh T, Vinay M, Arun G. Strangulation - a rare complication of inguinal hernia in a neonate. Bhutan Health Journal. 2016;2(2):32-33.
Hirabayashi T, Kobayashi T, Saitoh T, Kimura T, Hakamada K. Surgical treatment of inguinal hernia in neonates and infants: Early surgery or elective surgery? International Journal of Abdominal Wall and Hernia Surgery. 2020;3(3):94-99.
Yusuf Ali A, Sarac A, Mohamed Abdi AS. A Retrospective Study of Pediatric Patients with Inguinal Hernia in a Tertiary Hospital in Somalia. Open Access Surgery. 2022; Volume 15:97-100.
Bowling K, Hart N, Cox P, Srinivas G. Management of paediatric hernia. BMJ (Online). 2017; 359:1-6.
Botes SN, Edge J, Apffelstaedt JP, Sidler D. Assessment of the delayed repair of uncomplicated inguinal hernias in infants. South African Journal of Surgery. 2020;58(1):18-21.
Abdulhai SA, Glenn IC, Ponsky TA. Incarcerated Pediatric Hernias. Surgical Clinics of North America. 2017;97(1):129-145.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
