title: Obstructed hepatic flexure contained in a right-sided inguinoscrotal hernia resulting in caecal perforation.
abstract: Inguinal hernia often presents as an emergency with obstruction and subsequent strangulation. We report a unique case where an inguinoscrotal sliding type hernia contained the entire hepatic flexure as its lead point, resulting in acute colonic obstruction and caecal wall perforation.
authors.affiliation: Southern Health and Social Care Trust, Department of General Surgery, Daisy Hill Hospital, Newry, N. Ireland, UK. brendan_skelly@me.com.
authors.forename: B L
authors.initials: BL
authors.lastname: Skelly
authors.forename: A K
authors.initials: AK
authors.lastname: Neill
mesh_terms: D000208:Acute Disease; D002429:Cecal Diseases / Q000209:etiology* / Q000601:surgery; D003108:Colonic Diseases / Q000209:etiology* / Q000601:surgery; D004638:Emergency Treatment; D006552:Hernia, Inguinal / Q000150:complications* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009852:Omentum; D012611:Scrotum
references.citation: ANZ J Surg. 2008 Mar;78(3):219
references.pmid: 18269503
references.citation: Int J Clin Pract. 2006 Dec;60(12):1681-2
references.pmid: 16836646
references.citation: Hernia. 2002 Sep;6(3):137-40
references.pmid: 12209303
references.citation: Hernia. 2006 Mar;10(1):93-6
references.pmid: 16132189
references.citation: Hernia. 2008 Aug;12(4):421-3
references.pmid: 18004499