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Huang D, Aleksandrovskiy I, Ganti L. Hematemesis Secondary to Complex Incarcerated Pantaloon Hernia. Cureus 2021; 13:e13770. [PMID: 33842146 PMCID: PMC8025799 DOI: 10.7759/cureus.13770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Hematemesis with concomitant small bowel obstruction is an uncommon emergency department presentation. We report the case of a patient who presented with hematemesis and an incarcerated pantaloon hernia. While the patient initially had intact bowel movements and flatus, he eventually developed complete obstruction that required open surgical repair. In a patient with an incarcerated hernia and a history of recurrent small bowel obstruction, predicting strangulation or compromised bowel and the need for rapid surgical intervention can be difficult. Hematemesis concurrent with hernia incarceration may be suggestive of impending complete bowel obstruction and ischemia.
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Affiliation(s)
- Derrick Huang
- Emergency Medicine, Ocala Regional Medical Center, Ocala, USA.,Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA
| | - Ilya Aleksandrovskiy
- Emergency Medicine, Ocala Regional Medical Center, Ocala, USA.,Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA.,Emergency Medicine, Envision Physician Services, Plantation, USA
| | - Latha Ganti
- Emergency Medicine, Envision Physician Services, Plantation, USA.,Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA.,Emergency Medicine, Ocala Regional Medical Center, Ocala, USA.,Emergency Medicine, HCA Healthcare Graduate Medical Education Consortium Emergency Medicine Residency Program of Greater Orlando, Orlando, USA
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Majima T, Yoshino Y, Matsukawa Y, Funahashi Y, Sassa N, Kato M, Gotoh M. Causative factors for de novo inguinal hernia after robot-assisted radical prostatectomy. J Robot Surg 2017; 12:277-282. [PMID: 28721635 DOI: 10.1007/s11701-017-0729-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2017] [Accepted: 07/09/2017] [Indexed: 11/30/2022]
Abstract
To determine causative factors for de novo inguinal hernia (IH), after robot-assisted radical prostatectomy (RARP). This was a retrospective, single-center study, which included patients undergoing RARP for prostate cancer at our institution, from February 2012 to January 2015. Cox proportional hazards models were used to determine the relationships between de novo IH and various factors. A total of 284 patients were included in the analysis. Forty-two (14.7%) patients developed IH at a median period of 8 months after RARP. On multivariate analysis, preoperative international prostate symptom score question 6 > 2, and a patent processus vaginalis were significantly correlated with de novo IH (hazard ratio (HR) 4.17, 95% confidence interval (CI) 2.07-8.37, p < 0.001; HR 3.67, 95% CI 2.36-5.69, p < 0.001). Preoperative urinary straining and a patent processus vaginalis were predictive of de novo IH after RARP.
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Affiliation(s)
- Tsuyoshi Majima
- Department of Urology, Nagoya University Graduate School of Medicine, 65, Tsuruma-cho, Showa-ku, Nagoya-Shi, Aichi-ken, Japan.
| | - Yasushi Yoshino
- Department of Urology, Nagoya University Graduate School of Medicine, 65, Tsuruma-cho, Showa-ku, Nagoya-Shi, Aichi-ken, Japan
| | - Yoshihisa Matsukawa
- Department of Urology, Nagoya University Graduate School of Medicine, 65, Tsuruma-cho, Showa-ku, Nagoya-Shi, Aichi-ken, Japan
| | - Yasuhito Funahashi
- Department of Urology, Nagoya University Graduate School of Medicine, 65, Tsuruma-cho, Showa-ku, Nagoya-Shi, Aichi-ken, Japan
| | - Naoto Sassa
- Department of Urology, Nagoya University Graduate School of Medicine, 65, Tsuruma-cho, Showa-ku, Nagoya-Shi, Aichi-ken, Japan
| | - Masashi Kato
- Department of Urology, Nagoya University Graduate School of Medicine, 65, Tsuruma-cho, Showa-ku, Nagoya-Shi, Aichi-ken, Japan
| | - Momokazu Gotoh
- Department of Urology, Nagoya University Graduate School of Medicine, 65, Tsuruma-cho, Showa-ku, Nagoya-Shi, Aichi-ken, Japan
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Affiliation(s)
- Tulin Sen
- Ankara University School of Medicine, Department of Anatomy, Ankara, Turkey
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