Colonoscope incarceration in an inguinal hernia complicated by ischemic bowel disease: A case report

Figure 1 Abdominal X-ray. A: Pelvic X-ray showing the colonoscope stuck in a reverse “S” configuration in the left pelvic cavity; B: Successful withdrawal of the colonoscope following manual reduction of the inguinal hernia.

Figure 2 Colonoscopy images. A: Colonoscopic view showing a well-demarcated boundary between the ischemic intestinal segment and the adjacent normal mucosa; B: Colonoscopic view of the sigmoid colon showing continuous congestion and edema, a granular and uneven texture, and areas covered with necrotic material and dark red blood-tinged mucus.

Figure 3 Histopathological section demonstrating mucosal congestion, mild inflammatory cell infiltration, and superficial mucosal necrosis with sloughing (× 20).

Figure 4 Computed tomography scan demonstrating a left inguinal hernia. The orange arrows indicate the hernia ring (approximately 3 cm in diameter).