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IMAGES IN CLINICAL PRACTICE
Year : 2017  |  Volume : 3  |  Issue : 1  |  Page : 50

Scrotal Abdomen − A Massive Inguinal Hernia


Department of Surgery, Maulana Azad Medical College, New Delhi, India

Date of Web Publication1-Mar-2017

Correspondence Address:
Sachin Mittal
Department of Surgery, Maulana Azad Medical College, New Delhi 110002, Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2394-7438.201103

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How to cite this article:
Mittal S, Mishra K, Garg P, Vindal A, Lal P. Scrotal Abdomen − A Massive Inguinal Hernia. MAMC J Med Sci 2017;3:50

How to cite this URL:
Mittal S, Mishra K, Garg P, Vindal A, Lal P. Scrotal Abdomen − A Massive Inguinal Hernia. MAMC J Med Sci [serial online] 2017 [cited 2019 Sep 22];3:50. Available from: http://www.mamcjms.in/text.asp?2017/3/1/50/201103

Giant inguinoscrotal hernia is a rarely encountered entity nowadays in surgical practice because of the easy availability of surgical facility for repair with minimum morbidity even in the remote areas. Giant inguinoscrotal hernias are a surgical challenge even for the most experienced surgeon, because forced reduction of the herniated viscera to abdominal cavity, which is accustomed to being relatively empty for long duration, may cause alteration in the intra-abdominal and intra-thoracic pressures, leading to complications such as abdominal compartment syndrome, precipitation of cardiovascular or respiratory compromise, hernia recurrence and wound dehiscence (seen in up to 30% of the cases).[1] Because of the rarity of reported cases, surgical management of such cases has to be individualised. A 60-year-old male, who was a smoker since the last 30 years with symptoms suggestive of severe lower urinary tract symptoms (IPSS score of 25), presented to us with left irreducible inguinal hernia since the last 20 years. Persistent neglect of the symptoms on his part despite affecting his quality of life had led the hernia to attain its present dimensions, mimicking a scrotal abdomen.[2] Peristalsis was visible on hernia swelling with the penis completely losing its existence [Figure 1] [Figure 2].
Figure 1: Scrotal abdomen − front view

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Figure 2: Scrotal abdomen − side view. Note the buried penis

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Mehendale FV, Taams KO, Kingsnorth AN. Repair of a giant inguinoscrotal hernia. Br J Plast Surg 2000;53:525-9.  Back to cited text no. 1
    
2.
Hodgkinson DJ, McIlrath DC. Scrotal reconstruction for giant inguinal hernias. Surg Clin North Am 1984;64:307-13.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2]



 

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