SMALL INTESTINAL ISCHEMIC STENOSIS DUE TO PREVIOUS INCARCERATION OF FEMORAL HERNIA-REPORT OF A CASE-

Abstract

A 69-year-old female was seen at the division because of nausea, vomiting and a painful tumor of the right inguen. She was diagnosed as to have incarceration of inguinofemoral and surgical operation was performed immediately. The incarceration in the intestine was reduced and a radical surgical operation of the hernia was performed. Subsequently the patient was discharged from the hospital. About 4 months later, however, she developed intestinal obstruction. Peritoneotomy was performed. It was found that a stenosis occurred in the small intestine where the resection of the incarceration was performed. Resection of the stenosed site in the small intestine was performed and the histological findings of the resected intestine revealed remarkable degeneration and disappearance of the mural or parietal ganglion layers, without showing a sore cicatrix of the mucosa, thickened intestinal paries and fibrosis. It was assumed that ischemia in the intestinal panes selectively impaired ganglion cells to form the intestine lacking in ganglion cells, which led to disorders of peristalsis and its resultant obstruction of the intestinal passage.