title: Perforated caecal diverticulum as a content of inguinal hernia - report of a rare case.
abstract: A tablet induced perforation of a caecal diverticulum into a hernial sac is a rare happening. The report discusses the presentation and outcome of a patient with such an unusual disease. A 55-year-old man presented with features of irreducible right sided indirect inguinal hernia. A hard swelling near upper pole of right testis was noted. Scrotal ultrasound revealed a normal testis. At operation caecum and proximal ascending colon were found in the hernial sac with the caecum adherent to the testis. As caecal malignancy could not be ruled out and enbloc Rt Haemicolectomy with Rt orchidectomy was performed. The patient had an uneventful recovery. Pathological examination of the specimen revealed a perforated caecal diverticulum with presence of multiple tablets in its lumen invaginating the upper pole of right testis without any evidence of malignancy. Tablet induced perforation of a caecal diverticulum into a hernial sac is a rare clinical entity. If malignancy cannot be negated at operation, a right haemicolectomy is a safe and feasible option.
authors.affiliation: Department of Minimal Access Surgery, ILS Multispeciality Clinic, DD-6, Sector - I, Salt Lake City, Kolkata, 700 064 India.
authors.forename: Om
authors.initials: O
authors.lastname: Tantia
authors.forename: Samik
authors.initials: S
authors.lastname: Bandyopadhyay
authors.forename: Mayank
authors.initials: M
authors.lastname: Jain
authors.forename: Prakash Kumar
authors.initials: PK
authors.lastname: Sasmal
authors.forename: Shashi
authors.initials: S
authors.lastname: Khanna
authors.forename: Bimalendu
authors.initials: B
authors.lastname: Sen
keywords: Caecal diverticulum; Inguinal hernia