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Sahsamanis G, Samaras S, Basios A, et al. Treatment of a half century year old giant inguinoscrotal hernia. A case report. Int J Surg Case Rep. 2016;25:51-4doi: 10.1016/j.ijscr.2016.05.039.
Sahsamanis, G., Samaras, S., Basios, A., Katis, K., & Dimitrakopoulos, G. (2016). Treatment of a half century year old giant inguinoscrotal hernia. A case report. International journal of surgery case reports, 2551-4. https://doi.org/10.1016/j.ijscr.2016.05.039
Sahsamanis, Georgios, et al. "Treatment of a half century year old giant inguinoscrotal hernia. A case report." International journal of surgery case reports vol. 25 (2016): 51-4. doi: https://doi.org/10.1016/j.ijscr.2016.05.039
Sahsamanis G, Samaras S, Basios A, Katis K, Dimitrakopoulos G. Treatment of a half century year old giant inguinoscrotal hernia. A case report. Int J Surg Case Rep. 2016;25:51-4. doi: 10.1016/j.ijscr.2016.05.039. Epub 2016 May 24. PMID: 27318860; PMCID: PMC4915956.
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Int J Surg Case Rep. 2016;25:51-4. doi: 10.1016/j.ijscr.2016.05.039. Epub 2016 May 24.

Treatment of a half century year old giant inguinoscrotal hernia. A case report.

International journal of surgery case reports

Georgios Sahsamanis, Stavros Samaras, Anestis Basios, Konstantinos Katis, Georgios Dimitrakopoulos

Affiliations

  1. 1st Department of Surgery, 401 Army General Hospital of Athens, Greece. Electronic address: [email protected].
  2. 1st Department of Surgery, 401 Army General Hospital of Athens, Greece.

PMID: 27318860 PMCID: PMC4915956 DOI: 10.1016/j.ijscr.2016.05.039

Abstract

INTRODUCTION: Inguinal hernias, although a common medical entity, can on rare occasions present as giant inguinoscrotal hernias, mostly because of the patient's rejection of timely surgical management.

PRESENTATION OF CASE: A 77year old patient, with a giant inguinoscrotal hernia history for more than 50 years, was advised to undergo surgical treatment due to recurrent urinary tract infections and vague abdominal pain. Physical examination showed a right sided giant inguinoscrotal hernia extending below the midpoint of the inner thigh. Preoperative CT examination confirmed a giant inguinoscrotal hernia containing the whole of the small bowel along with its mesentery.

DISCUSSION: Giant inguinoscrotal hernias are classified into three types based on size, with each one posing a challenge to treat. There are a number of surgical options and recommendations available, depending on the type of hernia. They require close postoperative observation, because the sudden increase in the intra-abdominal pressure can account for a number of complications. Our case was classified as a type II hernia, having longevity of more than 50 years. Despite this, it was treated with forced reduction and no debulking through an extended inguinal and lower midline incision, forming a 'V shaped' incision. Patient recovery was uneventful and he was discharged on the 10th postoperative day.

CONCLUSION: Preoperative management and the correct surgical plan depending on the case are key elements in the successful treatment of this rare surgical entity.

Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Giant inguinal hernia; Hernia meshplasty; Inguinoscrotal hernia

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