Abstract
Two cases of inguinal hernia in infants with neonatal chronic lung disease, causing ileus due to incarcerated cecurn wilh malfixation are reported. [Case 1] An 11-month-old boy born at 27 weeks of gestation and weighting 1006 grams at birth, who was complicated by BPD due to prolonged respiratory care was admitted with abdominal distention and vomiting. His right inguinal region and scrotum were swollen. Barium enema revealed reducible right inguinal hernia causing ileus due to incarcerated cecum with malfixation and radical surgery for the inguinal herina was carried out. [Case 2] A 1-year-l-month old boy born at 26 weeks of gestation and weighting 909 grams at birth who was complicated by Wilson-Mikity syndrome was admitted with vomiting and constipation. His right inguinal region and scrotum were swollen and the diagnosis was the same in case 1. Radical surgery involving the internal ring closure followed by additional appendectomy was carrid out. This pathological state requires sub-emergency surgery, and barium enema is necessary for ruling out other causes of ileus. Additional appendectomy, high ligation of the hernia sac and internal ring repair are recommended.
