Skip to main content

22.11.2022 | Images in Surgery

The Black Inguinum: What Is Behind It?

verfasst von: Boris Tadic, Nikola Grubor, Milica Mitrovic, Vladimir Milosavljevic

Erschienen in: Indian Journal of Surgery

Einloggen, um Zugang zu erhalten

Abstract

We present a rare and unusual finding of black discoloration of the inguinal region in a 67-year-old married female patient. She was admitted to the Emergency Department due to pain in the lower left abdomen. A black swelling, the size of a ping-pong ball, was identified on physical examination. There was an initial notion that the swelling was, in fact, a strangulated inguinal hernia. However, within additional diagnostics, a CT scan of the abdomen was performed, verifying sigmoid colon diverticulosis, with a perforation of the diverticulum and a fistulose duct protruding into the left groin. After the evaluation was complete, a left hemicolectomy was performed, as well as the resolution of the fistulose duct and the debridement of the inguinal region. Appropriate assessment, a careful review of medical records, and laboratory diagnostics are very important parameters but are not sufficient for establishing a definitive diagnosis of colon diverticulosis unless additional radiological imaging diagnostics are also carried out.
Literatur
1.
Zurück zum Zitat Lembcke B (2015) Diagnosis, differential diagnoses, and classification of diverticular disease. Viszeralmedizin 31(2):95–102 PubMedPubMedCentral Lembcke B (2015) Diagnosis, differential diagnoses, and classification of diverticular disease. Viszeralmedizin 31(2):95–102 PubMedPubMedCentral
2.
Zurück zum Zitat Andrabi SI, Pitale A, El-Hakeem AA (2007) Diverticular abscess presenting as a strangulated inguinal hernia: case report and review of the literature. Ulster Med J 76(2):107–108 PubMedPubMedCentral Andrabi SI, Pitale A, El-Hakeem AA (2007) Diverticular abscess presenting as a strangulated inguinal hernia: case report and review of the literature. Ulster Med J 76(2):107–108 PubMedPubMedCentral
Metadaten
Titel
The Black Inguinum: What Is Behind It?
verfasst von
Boris Tadic
Nikola Grubor
Milica Mitrovic
Vladimir Milosavljevic
Publikationsdatum
22.11.2022
Verlag
Springer India
Erschienen in
Indian Journal of Surgery
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-022-03622-x

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.