Hematemesis Secondary to Complex Incarcerated Pantaloon Hernia

Division

North Florida

Hospital

Ocala Regional Medical Center

Document Type

Case Report

Publication Date

3-8-2020

Keywords

pantaloon hernia, inguinal hernia, direct hernia, indirect hernia

Disciplines

Digestive System Diseases | Emergency Medicine | Pathological Conditions, Signs and Symptoms

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.

Publisher or Conference

Cureus

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