Fistulating Richter’s Hernia of Groin with Necrotizing Soft Tissue Infection: A Lethal Combination
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 7
Abstract
Strangulation of groin hernia can result in significant morbidity and mortality. Spontaneous external fistulation following strangulation is rare and typically occurs with Richter’s hernia. Spreading Necrotizing Soft Tissue Infection (NSTI) secondary to Enterocutaneous Fistula (ECF) is an ominous sign, further worsening its prognosis. Early diagnosis and prompt surgical treatment is crucial to improve outcome. Herewith the authors are presenting a case of neglected inguinal hernia. It was complicated with ECF formation and rapidly spreading NSTI of flank. He underwent resection and anastomosis of the gangrenous bowel, anatomical repair of the hernia along with soft tissue debridement of flank region. This patient however succumbed to sepsis with multi organ dysfunction. Significant delay in seeking medical care led to dismal outcome.
Authors and Affiliations
SHIBOJIT TALUKDER, Ashish GUPTA, BASANT NARAYAN SINGH, LILESWAR KAMAN, P ABHINAYA REDDY
Keywords
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- EP ID EP355592
- DOI 10.7860/JCDR/2017/28201.10195
- Views 79
- Downloads 0
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