AN UNUSUAL CASE OF LEFT INGUINAL HERNIA STONE: AN INTERESTING AND INCIDENTAL FINDING

Jatin K. Punia, Gaurav Saxena, P.R. Bayes, Abhishek Verma

Abstract


A 56 year old patient who present as a simple right inguinal hernia for last 18 years was admitted and planed for right hemioplasty. All routine investigations were within normal limit and patient was posted for surgery on next day. No ultra sonography or x-ray of abdomen wa~ done as diagnosis in case of hernia is made by clinical examination. During surgery, as it was a direct hernia so simple reducing the sac and placing a mesh over it was decided. But as the sac was freed from all the adhesion a solid and hard structure is felt against the thumb and right index finger. The sac is thus open to rule out any other pathology and silver off white stone was found just below the sac. The stone was removed; closure of sac was done followed by placing a mesh over it. The stone was send for biochemical analysis, which was later diagnosed as calcium stone. Patient was on regular follow up and no evidence of recurrence or infection was seen.
The main motive to present this case was to put stress that in a long standing case of inguinal hernia chronic, inflammation and i"itation may cause calcification and fibrosis of surrounding tissue which lead to formation of herniolithiasis (stone in hernia sac).


Keywords


Direct right inguinal hernia, Long standing case, Calcification & fibrosis, Hemiolithiasis, Inguinal hernia, Hernia stone.

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