Incarcerated Inguinal Hernia or Acute Necrotizing Pancreatitis?

Irgen Tafaj; Endrit Shehi; Ernest Caka; Qazim Çili; Juliana Shahu; Arvit Llazani; Liri Çuko; Edite Sadiku

doi:10.3889/oamjms.2022.11136

Authors

Irgen Tafaj Department of Gastroenterology-Hepatology, University Hospital Center “Mother Theresa”, Tirana, Albania https://orcid.org/0000-0003-3743-6839
Endrit Shehi Department of General Surgery, University Hospital Center “Mother Theresa”, Tirana, Albania https://orcid.org/0000-0001-8099-9886
Ernest Caka Department of Anesthesia, Reanimation and Intensive Care, University Hospital Center “Mother Theresa”, Tirana, Albania https://orcid.org/0000-0002-5138-4628
Qazim Çili Department of Gastroenterology-Hepatology, University Hospital Center “Mother Theresa”, Tirana, Albania
Juliana Shahu Department of General Surgery, University Hospital Center “Mother Theresa”, Tirana, Albania https://orcid.org/0000-0003-1908-6601
Arvit Llazani Department of General Surgery, University Hospital Center “Mother Theresa”, Tirana, Albania
Liri Çuko Department of Gastroenterology-Hepatology, University Hospital Center “Mother Theresa”, Tirana, Albania
Edite Sadiku Department of Gastroenterology-Hepatology, University Hospital Center “Mother Theresa”, Tirana, Albania

DOI:

https://doi.org/10.3889/oamjms.2022.11136

Keywords:

Pancreatitis, Inguinal hernia, Extra-pancreatic collections

Abstract

Acute pancreatitis is a common disease with multiple clinical and radiological manifestations, which sometimes might be very uncommon. Our case is an untypical case of extra-pancreatic complication in acute severe pancreatitis, which was misdiagnosed as incarcerated inguinal hernia on CT imaging and treated surgically. It illustrates the importance of every clinical feature in acute pancreatitis and the challenge of interpreting the radiological data.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Bem J, Bradley EL 3rd. Subcutaneous manifestations of severe acute pancreatitis. Pancreas. 1998;16(4):551-5. https://doi.org/10.1097/00006676-199805000-00015 PMid:9598819 DOI: https://doi.org/10.1097/00006676-199805000-00015

Kamble PM, Patil A. Jadhav S, Rao SA. Anterior abdominal wall abscess with epididymo-orchitis: An unusual presentation of acute pancreatitis. J Postgrad Med. 2011;57(4):335-7. https://doi.org/10.4103/0022-3859.90088 PMid: 22120865 DOI: https://doi.org/10.4103/0022-3859.90088

Kalia S, Gupta R, Shenvi SD, Kumar H, Gupta R, Kang M, et al. Inguinoscrotal region as an unusual site of extra-pancreatic collections in infected pancreatic necrosis. Gastroenterol Rep (Oxf). 2016;4(3):246-50. https://doi.org/10.1093/gastro/gou090 PMid:25649933 DOI: https://doi.org/10.1093/gastro/gou090

Eddy K, Piercy GB, Eddy R. Vasitis: Clinical and ultrasound confusion with inguinal hernia clarified by computed tomography. Can Urol Assoc J. 2011;5(4):E74-6. https://doi.org/10.5489/cuaj.10116 PMid:21806899 DOI: https://doi.org/10.5489/cuaj.10116

Garevy JF. Computed tomography scan diagnosis of occult groin hernia. Hernia. 2012;16(3):307-14. https://doi.org/10.1007/ s10029-011-0899-5 PMid:22167621 DOI: https://doi.org/10.1007/s10029-011-0899-5

Balthazar EJ. Complications of acute pancreatitis: Clinical and CT evaluation. Radiol Clin North Am. 2002; 40(6):1211-27. https://doi.org/10.1016/s0033-8389(02)00043-x PMid:12479707 DOI: https://doi.org/10.1016/S0033-8389(02)00043-X