Repair of a giant inguinoscrotal hernia with herniation of the ileum and sigmoid colon:A case report  

作　　者：Shih-Hung Liu Ching-Hen Yen Hsu-Ping Tseng Je-Ming Hu Ching-Han Chang Ta-Wei Pu 

机构地区：[1]Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 11490,Taiwan [2]Division of Urological Surgery,Department of Surgery,Songshan Branch,Tri-Service General Hospital,National Defense Medical Center,Taipei 10581,Taiwan [3]Division of Colon and Rectal Surgery,Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 11490,Taiwan [4]Department of Surgery,Kaohsiung Armed Forces General Hospital,Kaohsiung 802,Taiwan [5]Division of Colon and Rectal Surgery,Department of Surgery,Songshan Branch,Tri-Service General Hospital,National Defense Medical Center,Taipei 10581,Taiwan

出　　处：《World Journal of Clinical Cases》2023年第2期401-407,共7页世界临床病例杂志

摘　　要：BACKGROUND Giant inguinoscrotal hernias are huge inguinal hernias that extend below the midpoint of the inner thigh in the standing posture.Giant inguinoscrotal hernias are rare in developed countries because of their better medical resources and early treatment.However,they can develop in patients who refuse surgery or ignore their condition.Intervention is inevitable because strangulation and organ perforation can occur,leading to peritonitis and sepsis.Common surgical approaches include open abdominal and inguinal approaches or a combination of both.CASE SUMMARY We present the case of a 73-year-old man who visited our emergency department with a huge mass in his left scrotum and septic complications.Abdominal computed tomography revealed a large left inguinoscrotal hernia that contained small bowel loops and the colon.Emergency surgical intervention was performed immediately because intestinal strangulation was highly suspected.The operative repair was performed using a combination of mini-exploratory laparotomy and the inguinal approach.The incarcerated organs,which included the ileum and sigmoid colon,had relatively good intestinal perfusion without perforation or ischemic changes.They were successfully reduced into the abdomen,and bowel resection was not necessary.A tension-free prosthetic mesh was used for the hernia repair.Two weeks after the initial surgery,and with adequate antimicrobial therapy,the patient recovered and was discharged from our hospital.No evidence of hernia relapse was noted during the outpatient follow-up examination 3 mo after surgery.CONCLUSION Emergency surgery involving combined mini-exploratory laparotomy and the inguinal approach should be performed for serious incarcerated giant inguinoscrotal hernias.

关 键 词：Inguinal hernia ILEUM Sigmoid colon SEPSIS Hernia repair Case report 

分 类 号：R574[医药卫生—消化系统]