Giant interparietal inguinal hernia with undescended testis—A Rare case report

Abstract

HighlightsAn interparietal inguinal hernia with undescended testis & obstructed external ring is a rare presentation.In Interperital hernia, the sac passes between the layers of the abdominal wall.Pre-operative diagnosis even with the help of USG & CT is really a challenging issue.Treatment is surgical exploration which also confirms the final diagnosis.

Two cases of interparietal inguinal hernias undergoing laparoscopic treatment: a case series

“…Kumar et al . [ 8 ] reported a giant interparietal inguinal hernia with undescended testis for which they performed preperitoneal placement of a proline mesh and orchiopexy. Meanwhile, Sakamoto et al .…”

Giant intraparietal inguinal hernia misdiagnosed as spigelian hernia in an old woman

“…Intraparietal inguinal hernias form a group of rather unusual hernias located between the layers of the abdominal wall in the inguinal region [ 2 , 3 ]. The incidence of intraparietal hernias reported in three different studies is about 0.01-1.6% [ 5 , 6 ] and 0.08-1.6% [ 7 ].…”

“…Intraparietal inguinal hernias are a rare variant of the inguinal hernia in which the hernia sac lies between the layers of the abdominal muscles [ 1 ]. The sac of the intraparietal hernia enters the internal inguinal ring in a manner similar to an indirect inguinal hernia but instead of passing downward a sac passes anteriorly between any two layers of the abdominal wall [ 2 ]. A Spigelian hernia is defined as a hernia occurring through the Spigelian aponeurosis.…”

“…The herniation occurs through slit-like defects in the aponeurotic layer between the rectus abdominis muscle medially and the semilunar line laterally (so-called Spigelian fascia) [ 3 ]; it constitutes less than 2% of all hernias and is reported that more than 90% lie in the “Spigelian belt”[ 4 ]. Intraparietal inguinal hernias mimic Spigelian hernias clinically; although its treatment is very simple but pre-operative diagnosis is really a challenging issue [ 2 ]. We treated an old patient woman with a rare variant of the inguinal hernia, a giant interstitial intraparietal hernia misdiagnosed as a Spigelian hernia.…”

Interparietal preperitoneal strangled hernia: case report and review of the literature

“…Preperitoneales, cuando el saco se encuentra entre el peritoneo y la fascia transversalis1,7 ; intersticiales, cuando el saco queda atrapado en cualquier capa del canal inguinal (fascia transversalis, músculo transverso, oblicuo interno o externo)7 . Este tipo de hernias son las más frecuentes: representan el 60 %2,5 . Por último, las de tipo superficial, cuando el saco peritoneal se aloja entre la aponeurosis del oblicuo externo y la piel7 .Originalmente, autores como Moynihan y Halstead afirmaban que todas las hernias interparietales debían de ser biloculares; es decir, un saco peritoneal con dos loci que pudieran estar a diferentes niveles o capas de la región inguinal, siempre y cuando uno de los loci invadiera el canal inguinal.…”