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Case Report
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Sliding hernia with appendix, cecum, ascending colon forming sliding component and transverse colon and greater omentum forming contents of the sac: A case report | ||||||
Manash Ranjan Sahoo1, T Anil Kumar2 | ||||||
1MS, Associate Professor, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
2Post Graduate, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India. | ||||||
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How to cite this article: |
Sahoo MR, Kumar TA. Sliding hernia with appendix, cecum, ascending colon forming sliding component and transverse colon and greater omentum forming contents of the sac: A case report. International Journal of Case Reports and Images 2013;4(2):123–126. |
Abstract
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Introduction:
Inguinal hernia is quite common in surgical practice. However, sliding hernia is rare with an incidence of 2–5%. The exact diagnosis of sliding hernia is made on the operating table. We report the case of sliding hernia containing transverse colon and its greater omentum as contents and appendix, caecum, ascending colon forming the sliding component.
Case Report: A 70-year-old man presented with huge right sided groin hernia. Under general anesthesia reduction of the hernia was tried but it could not be reduced fully. Hence, very carefully the sac was opened and was found to contain transverse colon and greater omentum with appendix, caecum, ascending colon forming it's posterior wall. The contents were reduced and the sac was closed carefully. Posterior wall was reinforced with prolene mesh. Patient was discharged after seven days. Conclusion: Sliding hernia is a rare entity and those containing transverse colon, ascending colon, caecum and appendix are even rarer. Care must be taken to identify the contents of the hernia to avoid inadvertent injury to the structures. | |
Keywords:
Sliding hernia, Transverse colon, Ascending colon, Cecum
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Author Contributions
Manash Ranjan Sahoo – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published T Anil Kumar – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
Guarantor of submission
The corresponding author is the guarantor of submission. |
Source of support
None |
Conflict of interest
Authors declare no conflict of interest. |
Copyright
© Manash Ranjan Sahoo et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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