[Perforation of the small intestine in patients with hernia].
Two cases of intestinal perforation associated with inguinal hernia or incisional hernia are presented along with a review of the literature. The great majority are men over the age of 45 with a reducible and usually right-sided inguinal hernia. When a loop of bowel lies opposite a point of weakness in the abdominal wall, such as a hernial orifice, and intraabdominal pressure suddenly rises, the resulting intraluminal pressure ruptures the bowel where it is unsupported. Perforation results in diffuse peritonitis in a few hours. The treatment consists in laparotomy, simple closure of the perforation and drainage of the abdomen. Repair of the hernia is recommended 2 months after healing of the peritonitis. If the complication is early detected and treated the outcome is good.
Gianom
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Chirurgische Abteilung, Spital Oberengadin, Samedan.
Fenner
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D001265:Athletic Injuries / Q000209:etiology / Q000601:surgery; D006552:Hernia, Inguinal / Q000150:complications / Q000601:surgery*; D006555:Hernia, Ventral / Q000150:complications / Q000601:surgery*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology / Q000601:surgery*; D007082:Ileum / Q000293:injuries / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D007590:Jogging / Q000293:injuries; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D011468:Prostatectomy; D012086:Reoperation
Dünndarmperforation bei Hernienträgern.