Living with a giant inguinoscrotal hernia for 35 years—a case report

Abstract In this modern era, giant inguinoscrotal hernias are very rare to experience in a medical career. We discuss a case of a 65-year-old man with a history of an inguinoscrotal hernia with progressive growth for the past 35 years. On examination, he had a 20 cm × 15 cm non-reducible swelling wi...

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Bibliographic Details
Published in:Journal of surgical case reports 2021-10, Vol.2021 (10)
Main Authors: Khatiwada, Pradeep, Devkota, Amrit, Panthi, Sagar, Manandhar, Srista, Sharma, Dipendra, Chhetri, Sunit, Ranabhat, Chet Bahadur, Shah, Suresh, Khanal, Bhawani
Format: Article
Language:English
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Case Report
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Summary:Abstract In this modern era, giant inguinoscrotal hernias are very rare to experience in a medical career. We discuss a case of a 65-year-old man with a history of an inguinoscrotal hernia with progressive growth for the past 35 years. On examination, he had a 20 cm × 15 cm non-reducible swelling with multiple ulcers over the skin surface extending to the mid-thigh with otherwise no other bladder and bowel complications. These large hernias pose a different set of surgical problems. Open surgery was performed, hernial sac opened, contents reverted and left orchidectomy were done with scrotal reconstruction. The defect was closed with Vicryl 1-0 over the muscle layer and the skin was stapled. Daily wound care was provided. Besides, this case also compels us to explore possible reasons for the occurrence of such potentially dangerous surgical problems in low-to-middle income countries (LMIC).
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjab458