CASE REPORT   

Chirurgia 2019 December;32(6):335-7

DOI: 10.23736/S0394-9508.18.04925-2

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Perforation of the last ileal loop after direct blunt trauma in a patient with inguinal hernia: diagnosis and management

Lorenzo RIPAMONTI ¹ ✉, Mauro MONTUORI ², Matteo MATERNINI ¹, Angelo GUTTADAURO ¹

¹ Unit of General Surgery, Istituti Clinici Zucchi, University of Milano-Bicocca, Monza, Monza-Brianza, Italy; ² Unit of General Surgery, Ponte San Pietro Hospital, University of Milano-Bicocca, Ponte San Pietro, Bergamo, Italy

Direct inguinal blunt trauma is an uncommon but possible cause of bowel perforation in patients with groin hernia. In this case report we want to describe bowel perforation in a 67-year-old patient with bilateral groin hernia due to a directly inguinal blunt trauma managed with loop ileostomy with rod. This case reveals the importance of elective hernia repair and the value of clinical and instrumental evaluation of a patient with groin hernia after direct blunt trauma.

KEY WORDS: Wounds, nonpenetrating; Hernia, inguinal; Intestinal perforation