Abstract
A 58-year-old man who visited a local clinic complaining of vomiting was referred to our hospital for further evaluation and treatment. His entire abdomen was slightly distended, and a 10-cm swelling was observed in the right inguen and scrotum. Abdominal X-ray showed dilation of the small bowel. Abdominal CT scan showed intestinal loops in the right inguinal hernia, which caused bowel obstruction. He was diagnosed as having an incarcerated right inguinal hernia. After manual reduction in our clinic, he was admitted to our hospital for observation. Three hours after the reduction, the right inguinal hernia recurred. The patient could not be treated by manual reduction this time ; therefore, emergency surgery was performed. It was an indirect hernia, and the proximal part of the ascending colon, cecum, appendix, and terminal ileum had passed through the hernia entrance. Bowel resection was not performed because the intestine showed no evidence of necrosis. The hernia was repaired using the ULTRAPRO Hernia System (UHS). No complications occurred following surgery, and the patient was discharged 6 days later. An incarcerated ileocecum in an inguinal hernia is rare, and so far only 17 cases have been reported in Japan.
