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

Author:

Khatiwada Pradeep1ORCID,Devkota Amrit1,Panthi Sagar1ORCID,Manandhar Srista1,Sharma Dipendra1,Chhetri Sunit1,Ranabhat Chet Bahadur1,Shah Suresh1,Khanal Bhawani1ORCID

Affiliation:

1. Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan 56700, Nepal

Abstract

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).

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference17 articles.

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2. Giant inguinal hernia;Serpell;Aust N Z J Surg,1988

3. Repair of a giant inguinoscrotal hernia;Mehendale;Br J Plast Surg,2000

4. Giant inguinoscrotal hernia with ensuing fatal complications;Leibovitch;Isr J Med Sci,1990

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