title: Intestinal perforation secondary to blunt inguinal trauma in a soccer player: a case report.
abstract: BACKGROUND
  Intestinal perforation caused by blunt trauma to an inguinal hernia is a very uncommon event.
  
  
  METHODS
  We present the case of a 55-year old man who suffered trauma to the inguinal area while playing soccer and later developed intense abdominal pain with no categorical signs of peritoneal irritation. Computed tomography scan at arrival showed a right inguinal hernia, with partial protrusion of the ileum, inflammatory changes of the mesenteric fat tissue inside the hernial sac, and free intraperitoneal fluid. Several hours later he developed hypotension and fever. An emergency laparotomy was performed, revealing ileum perforation with peritonitis. Intestinal perforation was repaired without intestinal resection. After surgery, the patient developed severe septic shock with multiple organ failure. He recovered without sequelae and was discharged 3 weeks later.
  
  
  CONCLUSIONS
  This case emphasizes the potential clinical complications associated with this condition.
authors.affiliation: Department of Internal Medicine, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Nevenka
authors.initials: N
authors.lastname: Vucetich
authors.forename: Max
authors.initials: M
authors.lastname: Andresen
authors.forename: Pablo
authors.initials: P
authors.lastname: Hasbún
authors.forename: Tomás
authors.initials: T
authors.lastname: Regueira
authors.forename: Luis
authors.initials: L
authors.lastname: Ibáñez
authors.forename: Alejandro
authors.initials: A
authors.lastname: González
mesh_terms: D006552:Hernia, Inguinal / Q000150:complications*; D006801:Humans; D007264:Inguinal Canal / Q000293:injuries*; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012916:Soccer / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications*