Iranian Journal of Medical Sciences
Iranian Journal of Medical Sciences

Suprapubic Fecal Fistula Due To Richter's Inguinal Hernia: A Case Report and Review of Literature

Document Type : Case Report(s)

Authors

Shahbaz Habib Faridi 1
Bushra Siddiqui 2
Mohd Amanullah Khan 1
Afzal Anees 1
Syed Asmat Ali 1

1 Department of Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India

2 Department of Pathology, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India

Abstract
We encountered a 55-year-old man, who presented with an orifice in the suprapubic region, through which fecal material was discharged. On physical examination, the patient was unstable. After resuscitation, thorough evaluation, and laboratory and imaging investigations, he underwent an exploratory laparotomy. The ileum was entrapped at the deep inguinal ring, and there was some pus in the pelvic cavity. The purulent material was cleaned, and anastomosis was done after the resection of the defective ileal segment. In view of the rarity of this presentation and the paucity of published articles, this case is reported here.

Keywords

Inguinal ring
Hernia
Cellulitis

  • Received 30 November 2013
  • Revised 23 August 2020
  • Accepted 24 December 2018

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