Giant Inguinal Hernia: A Case Report

Abstract

Giant inguinal hernia is rare. This may be asymptomatic or present with the complications. Contents vary from colon, small gut, vermiform appendix, mesentery, to omentum. A case of giant inguinal hernia in a 62-year-old male who presented with features of intestinal obstruction is reported. Patient had giant inguinoscrotal hernia which was tender, irreducible, and had no cough impulse. Emergency exploration via inguinoscrotal approach revealed that contents were small and large intestines, omentum, mesentery, and vermiform appendix. Right orchidectomy, reduction of contents into abdominal cavity after enlarging internal ring with a double layer closure of wall, and the reconstruction of scrotal skin were done. Giant inguinal hernia presenting as intestinal obstruction is rare.