title: Lower gastrointestinal bleeding: an unusual manifestation of inguinal hernia.
abstract: Inguinal hernia is a common condition that usually presents with swelling and mild groin discomfort. Complications include bowel obstruction and strangulation. We report a case of a 50 year-old man who developed lower gastrointestinal bleeding secondary to an indirect inguinal hernia. Colonoscopy showed an ileocecal valve polyp, florid inflammation of cecum and ascending colon and ulcerations of the terminal ileum. Histology showed nonspecific colitis and angiodysplasia of the polyp. Surgical correction of the hernia led to the resolution of the endoscopic changes. The trauma associated with intermittent herniation of small bowel probably led to ischemia, resulting in the observed changes.
authors.affiliation: Gastroenterology Unit, Department of Medicine, Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital, Bandar Seri Begawan, BA, 1710, Brunei Darussalam. chongvuih@yahoo.co.uk
authors.forename: V H
authors.initials: VH
authors.lastname: Chong
authors.forename: A Z F
authors.initials: AZ
authors.lastname: Jamaludin
authors.forename: H A J A
authors.initials: HA
authors.lastname: Mackie
mesh_terms: D003113:Colonoscopy / Q000379:methods; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006552:Hernia, Inguinal / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*