Incarcerated inguinal hernia? No, acute pancreatitis

• Authors: Jose Ramia-Angel , Eloy Sancho , Rafael Lozoya , Andrej Gasz , Jose Santos
• Languages of publication: EN

Abstracts

EN

A 62-year-old man presented to the Emergency Department with a 2-day history of right testicular pain. The initial diagnosis was orchiepididymitis (later found to be mistaken), and intravenous antibiotic treatment was started. Twenty-four hours later, the patient had mild pain in the right inguinal area and right infra-abdominal area. We performed an inguinal ultrasound that showed an incarcerated mass of mixed echogenicity in the right inguinal area. Surgery was performed because we thought the patient had an inguinal incarcerated hernia. Two days after the surgical procedure, the patient began to have fever and erythema and pain in the back. Abdominal computed tomography (CT) showed an acute pancreatitis with a peripancreatic collection from the pancreas to right inguinal area. We have reviewed similar cases in the literature and note that, infrequently, an inguinal mass can be the first sign of mostly asymptomatic acute pancreatitis.

Keywords

EN

Inguinal hernia; Acute pancreatitis; Surgery; Review

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2011
• Volume: 6
• Issue: 6
• Pages: 770-772

Dates

published

1 - 12 - 2011

online

8 - 10 - 2011

Contributors

author

Jose Ramia-Angel

• Hepatobiliopancreatic Unit, Department of Surgery, Hospital Universitario de Guadalajara, 19002, Guadalajara, Spain

author

Eloy Sancho

• Department of Surgery, Hospital Santa Bárbara, 13500, Puertollano (Ciudad Real), Spain

author

Rafael Lozoya

• Department of Surgery, Hospital Provincial de Castellón, 12002, Castellon, Spain

author

Andrej Gasz

• Department of Surgery, Hospital Santa Bárbara, 13500, Puertollano (Ciudad Real), Spain

author

Jose Santos

• Department of Surgery, Hospital Santa Bárbara, 13500, Puertollano (Ciudad Real), Spain

References

• [1] Lee AD, Abraham T, Agarwal S, Perakath B. The scrotum in Pancreatitis: a case report and literature review. JOP 2004; 5: 357–359 [PubMed]
• [2] Erzurum V, Obermeyer R, Chung D Pancreatic pseudocyst masquerading as an incarcerated inguinal hernia. South Med J 2000; 93: 221–222 [PubMed][Crossref]
• [3] Zimin AF, Satsukevich VN, Molchanov NP. Acute pancreatitis with hemorrhagic flow into the scrotum. Vestn Khir Im Grek 1979; 122:47–48
• [4] Martinez JJ, Ortega F, Mengod Y, Lazaro J. Scrotal digestión caused by pancreatic ascites. Actas Urol Esp 1995; 19:320–321
• [5] Lin YL, Lin MT, Huang GT, Chang YL, Chang H. Wang SM, et al. Acute pancreatitis masquerading as testicular torsion. Am J Emerg Med 1996; 14:654–655 http://dx.doi.org/10.1016/S0735-6757(96)90081-9[Crossref]
• [6] Choong KK. Acute penoscrotal edema due to acute necrotizing pancreatitis. J Ultrasound Med 1996; 15:247–248
• [7] Wolfson K, Sudakoff GS. Ultrasonography and color Doppler imaging of a scrotal phlegmon in acute necrotizing pancreatitis. J Ultrasound Med 1994; 13:565–568
• [8] Krajewski S, Brown J, Phang PT, Raval M, Brown CJ Impact of computed tomography of the abdomen on clinical outcomes in patients with acute right lower quadrant pain: a meta-analysis Can J Surg, 2011; 54: 43–53 http://dx.doi.org/10.1503/cjs.023509[Crossref]

Identifiers

DOI

10.2478/s11536-011-0092-3