Giant inguinoscrotal hernia containing intestinal segments and urinary bladder successfully repaired by simple hernioplasty technique: A case report

被引：15

作者：

Tarchouli M. ^{[1
]}

Ratbi M.-B. ^{[1
]}

Bouzroud M. ^{[1
]}

Aitidir B. ^{[1
]}

Ait-Ali A. ^{[1
]}

Bounaim A. ^{[1
]}

Sair K. ^{[1
]}

机构：

[1] Department of Digestive Surgery i, Faculty of Medicine and Pharmacy, Mohammed v Military Hospital, Mohammed v University, Rabat

来源：

Journal of Medical Case Reports | / 9卷 / 1期

关键词：

Giant inguinoscrotal hernia; Lichtenstein repair; Urinary bladder;

D O I：

10.1186/s13256-015-0759-5

中图分类号：

学科分类号：

摘要：

Introduction: Giant inguinoscrotal hernias are extremely rare nowadays, but they may still be encountered after years or even decades of neglect. Such hernias containing both bowel loops and urinary bladder have not been reported in the medical literature to date, to the best of our knowledge. Case presentation: We report a case of a 65-year-old Moroccan man who presented with giant right-sided and long-standing inguinoscrotal hernia with compromised quality of life due to walking difficulties and sexual discomfort. Computed tomography revealed a voluminous hernia sac containing small and large bowel loops, greater omentum, and urinary bladder. Surgical repair was done through the classical inguinal incision using the Lichtenstein tension-free hernioplasty technique. No debulking or abdominal enlargement procedure had to be performed, apart from a partial omentectomy. Conclusions: Giant inguinoscrotal hernia containing intestinal segments and urinary bladder is a challenging surgical disease. A Lichtenstein tension-free technique seems to be the best surgical procedure for both the patient and the operating surgeon. It should be used whenever possible in such cases. © 2015 Tarchouli et al.

引用

共 15 条

[1] Hodgkinson D.J., McIlrath D.C., Scrotal reconstruction for giant inguinal hernias, Surg Clin North Am., 64, pp. 307-313, (1984)
[2] Panagiotakis G.I., Spyridakis K.G., Chatziioannou M.N., Kontopodis N.G., Kandylakis S.E., Repair of an inguinoscrotal hernia containing the urinary bladder: A case report, J Med Case Rep., 6, (2012)
[3] Patsas A., Tsiaousis P., Papaziogas B., Koutelidakis I., Goula C., Atmatzidis K., Repair of a giant inguinoscrotal hernia, Hernia., 14, pp. 305-307, (2010)
[4] Dinesh H.N., Kumar C.D.J., Shreyas N., Giant inguinoscrotal hernia repaired by Lichtenstein's technique without loss of domain - A case report, J Clin Diagn Res., 8, pp. ND07-8, (2014)
[5] Karthikeyan V.S., Sistla S.C., Ram D., Ali S.M., Rajkumar N., Giant inguinoscrotal hernia - Report of a rare case with literature review, Int Surg., 99, pp. 560-564, (2014)
[6] Petersen L.F., Luu M.B., Giant inguinal scrotal hernia containing the sigmoid colon, Am Surg., 80, pp. e185-e186, (2014)
[7] Coetzee E., Price C., Boutall A., Simple repair of a giant inguinoscrotal hernia, Int J Surg Case Rep., 2, pp. 32-35, (2011)
[8] Piskin T., Aydin C., Barut B., Dirican A., Kayaalp C., Preoperative progressive pneumoperitoneum for giant inguinal hernias, Ann Saudi Med., 30, pp. 317-320, (2010)
[9] Vasiliadis K., Knaebel H.P., Djakovic N., Nyarangi-Dix J., Schmidt J., Buchler M., Challenging surgical management of a giant inguinoscrotal hernia: Report of a case, Surg Today., 40, pp. 684-687, (2010)
[10] Merrett N., Biankin A., Giant inguinal hernia containing right colon repaired using the PROLENE hernia system, ANZ J Surg., 79, pp. 92-93, (2009)

← 1 2 →