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Case Report
 
Obstructed direct inguinal hernia: A rare encounter
Sudhir Kumar Mohanty1, Kumarmani Jena2, Tanmaya Mahapatra3, Jyoti Ranjan Dash3, Ajax John3, Dibyasingh Meher3
1MS, Associate Professor, Department of General Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
2MS, Senior Resident, Department of General Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
3Post Graduate Trainee, Department of General Surgery, S.C.B. Medical College, Cuttack, Odisha, India.

Article ID: Z01201609CR10694SM
doi:10.5348/ijcri-2016106-CR-10694

Address correspondence to:
Dr. Tanmaya Mahapatra
Address: Chandrama Nivas, Sarathi Nagar, Berhampur
Ganjam, Odisha
India, Postal Code- 760002

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How to cite this article
Mohanty SK, Jena K, Mahapatra T, Dash JR, John A, Meher D. Obstructed direct inguinal hernia: A rare encounter. Int J Case Rep Images 2016;7(9):592–595.


Abstract
Introduction: Direct inguinal hernias are less likely to present as incarceration or strangulation as compared to indirect inguinal hernia, because they have wide neck.
Case Report: We report the case of an 80-year-old male presented with irreducible and painful swelling over the right inguinal region and features of intestinal obstruction. On exploration the obstructed hernia was found to be a direct type with gangrenous sac wall containing congested small bowel loops. After gaining viability the content was reduced, posterior wall defect was closed and modified Bassini's repair was done.
Conclusion: A long standing direct inguinal hernia may present as acute or sub acute intestinal obstruction especially in elderly patients. Therefore, we should repair direct inguinal hernias on an elective basis in any age group.

Keywords: Direct inguinal hernia, Hesselbach's triangle, Indirect inguinal hernia, Modified bassini's repair, Obstructed hernia, Strangulated hernia


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Author Contributions
Sudhir Kumar Mohanty – 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
Kumarmani Jena – 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
Tanmaya Mahapatra – 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
Jyoti Ranjan Dash – Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Ajax John – Acquisition of data, Drafting the article, Final approval of the version to be published
Dibyasingh Meher – Acquisition of data, Drafting 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
© 2016 Sudhir Kumar Mohanty et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.