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CASE REPORT
Year : 2014  |  Volume : 11  |  Issue : 2  |  Page : 191-193

Stone ingestion causing obstructed inguinal hernia with perforation


1 Department of Surgery, Pediatric, Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Nonthaburi, Thailand
2 Department of Psychiatric, Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Nonthaburi, Thailand
3 Department of Anesthesia, Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Nonthaburi, Thailand
4 Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Correspondence Address:
Dr. Paiboon Sookpotarom
Department of Surgery, Panyananthaphikkhu Chonprathan Medical Center, 222 Tiwanon Road, Pak Kret, Nonthaburi 11120
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.132836

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We report a rare case of obstructed right inguinal hernia caused by ingested stones. A 2 year-old boy from Northern Thailand was transferred to our hospital with low-grade fever, vomiting, and acute painful swelling at his right hemiscrotum for one day. The physical examination revealed marked enlargement with inflammation in his right hemiscrotum. The radiological findings showed huge number of stones in the right hemiscrotum. At surgery, the content of hernia sac was ascending colon, which was full of hard masses. With the help of additional lower transverse abdominal incision, the obstructed segment was successfully reduced and revealed a perforation. Most of the stones were removed through the perforation. The colonic wound was primarily repaired and both incisions were primarily closed. Although he developed post-operative wound infection, the boy had uneventfully recovered. The psychological exploration in this "stone pica" revealed no other psychological disorders.


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