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Case Reports
. 2018 Jan 17:2018:3592738.
doi: 10.1155/2018/3592738. eCollection 2018.

A Case of Rare Complication of Inguinal Parietoplasty according to Lichtenstein: Entero Cutaneous Fistula

K B Kouakou  1 , K I Anzoua  1 , M Traore  1 , B K I Leh  1 , A B N'Dri  1 , A S Ekra  1 , B A Kouakou  2 , R Lebeau  1 , B Diané  1
Affiliations
Case Reports

A Case of Rare Complication of Inguinal Parietoplasty according to Lichtenstein: Entero Cutaneous Fistula

K B Kouakou et al. Case Rep Surg. .

Abstract

Lichtenstein intervention is currently the classic model of the regulated treatment of inguinal hernias by direct local approach. This "tension-free" technique satisfies both patients and practitioners. However, it does not often evade severe complications of parietal surgery. The authors report their treatment experience in rural Africa of a late enterocutaneous fistula which aggravated an inguinal hernia repair according to the Lichtenstein procedure. Physiopathology, diagnosis, and treatment of that disease are analyzed in the light of literature.

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Figures

Figure 1
Figure 1
Flow of stools through a left inguinal tumefaction facing wound.
Figure 2
Figure 2
Parietal prosthesis visible through the wound.
Figure 3
Figure 3
Ablation of the prosthesis via the inguinal channel.
Figure 4
Figure 4
Parietal prosthesis after total ablation.
Figure 5
Figure 5
Ileal lumen after total ablation of the prosthesis.
Figure 6
Figure 6
Adhesion of the ilium to the left inguinal orifice.
Figure 7
Figure 7
Exposure of the digestive fistula after median laparotomy.
See this image and copyright information in PMC

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