A case of totally extraperitoneal repair(TEP) for an incarcerated inguinal hernia with sigmoid colon perforation Jun KATAOKA 1 , Toshikatsu NITTA 1 , Takashi KINOSHITA 2 , Yuko TAKASHIMA 1 , Masato OTA 1 , Kensuke FUJII 3 , Takashi ISHIBASHI 1 1Department of Surgery, Gastroenterological Center, Shunjukai Shiroyama Hospital 2Department of Surgery, Hirakata City Hospital 3Department of General and Gastroenterological Surgery, Osaka Medical College Hospital Keyword: 大腸穿孔 , 鼠径ヘルニア嵌頓 , totally extraperitoneal repair , TEP法 pp.161-167
Published Date 2019/3/15
DOI https://doi.org/10.11477/mf.4426200686
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 Here, we present a 69-year-old male patient who suffered sigmoid colon perforation due to an incarcerated left inguinal hernia. He presented with left inguinal pain and severe abdominal pain. Abdominal computed tomography revealed the sigmoid colon perforation due to an incarcerated left inguinal hernia. We subsequently performed immediate high ligation and laparoscopic-assisted sigmoid colostomy. The postoperative course was uneventful and he was discharged from the hospital on postoperative day 19. Colostomy closure and totally extraperitoneal repair (TEP) of inguinal hernia were performed 7 months after the initial operation. The patient has not had a recurrence of his symptoms to date. Sigmoid colon perforation due to an incarcerated left inguinal hernia in the absence of other organic disorders is relatively rare. We demonstrate the effectiveness and safety of staged colostomy and TEP for such cases.

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