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Perforated diverticulosis within an inguinal hernia

  • D. Gao
  • M. G. Medina
  • J. A. Nitz
  • E. S. Alameer
  • J. R. DeBordEmail author
Case Report

An inguinal hernia may contain a variety of contents. The sigmoid colon, the most common location of diverticulosis, may infrequently be found within inguinal hernias. Rarely has a hernia with incarcerated sigmoid colon with diverticula been described. We present a case of perforated colonic diverticulum in an inguinal hernia and discuss treatment options for perforated and non-perforated diverticulitis in an inguinal hernia.

This is the case of a 65-year-old Caucasian male with atrial fibrillation, congestive heart failure, hypertension, and residual hemiplegia and seizures following a stroke years prior who presented with a 1-year history of an enlarging, left inguinoscrotal hernia. He reported tolerating a diet and normal bowel function. A large left inguinoscrotal hernia was present. It was irreducible and caused moderate discomfort but was soft and nontender to palpation. There were no overlying skin changes. He had never undergone a colonoscopy or a CT scan and therefore did not...



We would like to thank Melissa Mudak, Medical Librarian at the OSF Saint Francis Medical Center Library & Resource Center for her thorough Literature review. We would also like to thank Chadrick Evans, MD, for his skilled editing and thoughtful feedback.

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

Ethical approval is not required for this project as it did not include the publication or distribution of any protected information.

Human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study, formal consent is not required.


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  • D. Gao
    • 1
  • M. G. Medina
    • 1
  • J. A. Nitz
    • 1
  • E. S. Alameer
    • 1
  • J. R. DeBord
    • 1
    Email author
  1. 1.Department of SurgeryUniversity of Illinois College of Medicine PeoriaPeoriaUSA

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