[Inguinal symptoms of acute abdomen].
BACKGROUND
We describe a syndrome in which empty hernial sac, in its role of peritoneal recess, becomes distended with pus during or after general peritonitis, usually caused by acute appendicitis. Until 1998, only 14 pediatric cases were described in the literature.


RESULTS
We presented here eight cases of patients who experienced inguinal symptoms. In four, appendectomy was performed; in four, this was secondary to necrotizing enterocolitis. Inguinal complaints, pain, and flogosis were present in first group, while pneumoperitoneum and visible duct vaginalis were present in second group.


CONCLUSIONS
These cases demonstrated that persistent patent processus vaginalis may predispose to inguinal pathology secondary to intraabdominal sepsis and represent a unique complication.
Baeza-Herrera
Carlos
C
Departamento de Cirugía Genearl, Hospital Pediátrico Moctezuma, Oriente 158 No. 189, Col. Moctezuma 2a Secc., 15500 México D.F., México.
Jiménez-González
Newton
N
Atzin-Fuentes
José Luis
JL
Sanjuan-Fabián
Héctor
H
Godoy-Esquivel
Arturo Hermilo
AH
D000006:Abdomen, Acute / Q000175:diagnosis* / Q000209:etiology; D001062:Appendectomy; D001064:Appendicitis / Q000150:complications* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D020345:Enterocolitis, Necrotizing / Q000150:complications*; D004890:Erythema / Q000209:etiology; D005260:Female; D006552:Hernia, Inguinal / Q000150:complications; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007264:Inguinal Canal / Q000196:embryology / Q000473:pathology*; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery; D008297:Male; D010146:Pain / Q000209:etiology; D010529:Peritoneal Cavity / Q000196:embryology; D010538:Peritonitis / Q000150:complications / Q000601:surgery; D011027:Pneumoperitoneum / Q000150:complications; D012008:Recurrence; D012189:Retrospective Studies; D012422:Rupture, Spontaneous