Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 16, 2021; 9(2): 509-515
Published online Jan 16, 2021. doi: 10.12998/wjcc.v9.i2.509
Indirect inguinal hernia containing portosystemic shunt vessel: A case report
Masahiro Yura, Kikuo Yo, Asuka Hara, Keita Hayashi, Yuki Tajima, Yasushi Kaneko, Hiroto Fujisaki, Akira Hirata, Kiminori Takano, Kumiko Hongo, Kimiyasu Yoneyama, Motohito Nakagawa
Masahiro Yura, Kikuo Yo, Asuka Hara, Keita Hayashi, Yuki Tajima, Yasushi Kaneko, Hiroto Fujisaki, Akira Hirata, Kiminori Takano, Kumiko Hongo, Kimiyasu Yoneyama, Motohito Nakagawa, Department of Surgery, Hiratsuka City Hospital, Hiratsuka 2540065, Kanagawa, Japan
Author contributions: Yura M and Yo K performed surgery and wrote this paper; Nakagawa M reviewed the manuscript; all other members equally contributed to medical treatment; and all authors were responsible for the revision of the manuscript and final approval for submission.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: All authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Masahiro Yura, MD, Doctor, Surgeon, Department of Surgery, Hiratsuka City Hospital, 1-19-1, Minamihara, Hiratsuka 2540065, Kanagawa, Japan. myura@ncc.go.jp
Received: October 3, 2020
Peer-review started: October 3, 2020
First decision: November 3, 2020
Revised: November 18, 2020
Accepted: November 29, 2020
Article in press: November 29, 2020
Published online: January 16, 2021
Processing time: 97 Days and 0.8 Hours
Core Tip

Core Tip: We present the case of indirect inguinal hernia containing portosystemic shunt vessel. If an inguinal hernia patient has portal hypertension, for example due to liver cirrhosis, ultrasound and/or computed tomography should be used to determine the contents of the hernia. Shunt vessels present in the inguinal canal may be connected to surrounding tissues or communicate with extraperitoneal vessels, such as the peripheral testicular vein. Careful preoperative diagnosis is important to ensure that an adequate approach for safe hernia repair is selected.