In the presented case sarcoidosis and the 10-year immunosuppressive treatment with methylprednisolone might have been in the background of abdominal wall malakoplakia, complicated by vesico-cutaneous fistula. The patient was successfully treated with surgery and the followed antibiotic therapy.
The authors present their experience during a successful operation of an inguino-scrotal giant hernia. The enormous hernia had been enlarging for 8 years. First, the abdominal wall was gradually expanded by creating a pneumoperitoneum. Then the abdominal circumference was increased by 16 cm using a polypropylene mesh implanted in a sub-lay position in the midline - thus enabling the repositioning of the exteriorated hernia content into the abdomen.
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