Giant Transverse Colon Diverticulitis Presenting as Indirect Right Inguinal Hernia Strangulation.

, Park, Weon Cheol; , Lee, Jeong Kyun; , Yoon, Seong Eon; , Yun, Ki Jung

Case Report

Journal of the Korean Society of Coloproctology 2006;22(3):200-203.

Park, Weon Cheol , Lee, Jeong Kyun , Yoon, Seong Eon , Yun, Ki Jung

¹Department of Surgery, Institute of Medical Science, College of Medicine, Wonkwang University, Iksan, Korea. rjk@wonkwang.ac.kr
²Department of Radiology, College of Medicine, Wonkwang University, Iksan, Korea.
³Department of Pathology, College of Medicine, Wonkwang University, Iksan, Korea.

Abstract

A giant colonic diverticulum is a rare complication of diverticulosis, and an inguinal hernia is a common diagnosis for patients presenting with a painful groin mass. A 52-year-old male presented to the emergency room with a 3-hour complaint of progressive, constant, right-groin pain with an inguinal mass. After manual reduction of the inguinal hernia, the patient complained of pain in the right upper quadrant. Operative findings showed a transverse colon diverticulitis without perforation. We report here that case of a transverse colon giant diverticulum presenting as an atypical incarcerated inguinal hernia.

Key Words: Transverse colon giant diverticulum; Right inguinal hernia