|IMAGES IN CLINICAL PRACTICE
|Year : 2017 | Volume
| Issue : 1 | Page : 50
Scrotal Abdomen − A Massive Inguinal Hernia
Sachin Mittal, Keshav Mishra, Pankaj Garg, Anubhav Vindal, Pawanindra Lal
Department of Surgery, Maulana Azad Medical College, New Delhi, India
|Date of Web Publication||1-Mar-2017|
Department of Surgery, Maulana Azad Medical College, New Delhi 110002, Delhi
Source of Support: None, Conflict of Interest: None
|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
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). 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. Peristalsis was visible on hernia swelling with the penis completely losing its existence [Figure 1] [Figure 2].
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Mehendale FV, Taams KO, Kingsnorth AN. Repair of a giant inguinoscrotal hernia. Br J Plast Surg 2000;53:525-9.
Hodgkinson DJ, McIlrath DC. Scrotal reconstruction for giant inguinal hernias. Surg Clin North Am 1984;64:307-13.
[Figure 1], [Figure 2]