Scrotal abdomen revisited: A case report and review of literature

Abstract

The giant inguinoscrotal hernia has now become rare. Patients usually undergo surgical treatment of the hernia soon after diagnosis because of the availability of good hernioplasty techniques with mesh placement even in remote areas. Giant inguinoscrotal hernias present a challenging surgical problem because returning of herniated viscera to an abdominal cavity accustomed to being empty for long duration( loss of domain) may complicated by abdominal compartment syndrome and respiratory distress . Because of the rarity of reported cases and there is no standard surgical procedure in place for their treatment, Surgical management of such cases has to be individualised.
We report a case of giant, hanging inguinoscrotal hernia in a 76 years old man. We have done extended right hemicolectomy, omentectomy, lichtenstein hernioplasty using prolene mesh for right inguinal hernia and finally reconstruction of scrotal skin.