Case Report
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Feb 28, 2009; 15(8): 1007-1009
Published online Feb 28, 2009. doi: 10.3748/wjg.15.1007
Abscess in the inguinal hernial sac after peritonitis surgery: A case report
Satoshi Ikeda, Haruka Takeda, Masanori Yoshimitsu, Takao Hinoi, Makoto Yoshida, Daisuke Sumitani, Yuji Takakura, Yasuo Kawaguchi, Manabu Shimomura, Masakazu Tokunaga, Katsufumi Kawahori, Hideki Ohdan, Masazumi Okajima
Satoshi Ikeda, Masanori Yoshimitsu, Takao Hinoi, Masazumi Okajima, Department of Endoscopic Surgery and Surgical Science, Graduate School of Biomedical Science, Hiroshima University, Hiroshima 734-8551, Japan
Haruka Takeda, Makoto Yoshida, Daisuke Sumitani, Yuji Takakura, Yasuo Kawaguchi, Manabu Shimomura, Masakazu Tokunaga, Katsufumi Kawahori, Hideki Ohdan, Department of Surgery, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Science, Hiroshima University, Hiroshima 734-8551, Japan
Author contributions: Ikeda S wrote the paper; Takeda H, Ohdan H and Okajima M designed the paper; Yoshimitsu M, Hinoi T, Yoshida M, Sumitani D, Takakura Y, Kawaguchi Y, Shimomura M, Tokunaga M and Kawahori K performed the operations.
Correspondence to: Satoshi Ikeda, Department of Endoscopic Surgery and Surgical Science, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. sikeda@hiroshima-u.ac.jp
Telephone: +81-82-2575222
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Received: November 4, 2008
Revised: January 20, 2009
Accepted: January 27, 2009
Published online: February 28, 2009
Abstract

In this paper, we report an extremely rare case of an abscess that developed in the inguinal hernial sac after surgery for peritonitis. A 60-year-old man underwent laparoscopic low anterior resection for rectal cancer. One day after this operation, peritoneal drainage and ileostomy were performed for rectal anastomotic leakage. Five days after the second operation, computed tomography revealed an abscess in the left inguinal hernial sac. Subsequently, hernioplasty and resection of the inflamed sac were performed.

Keywords: Inguinal hernia; Hernial sac abscess; Peritonitis; Anastomotic leakage, Rectal cancer