PMC7406459_01
giant intraparietal inguinal hernia (front view)
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F1
The mass was round shaped, soft, mild tender and partially reducible with gurgling sound (Figure 1, Figure 2).
giant intraparietal inguinal hernia (lateral view)
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F2
The mass was round shaped, soft, mild tender and partially reducible with gurgling sound (Figure 1, Figure 2).
hernia sac laying below the external oblique fascia
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F3
Surgery started with transversal incision over the mass, after external oblique fascia opened careful exploration revealed that the hernia sac was lying in between external & internal oblique muscles; the hernia sac was coming out of a very widely dilated deep inguinal ring of about 5 cm diameter (Figure 3, Figure 4) and extending forward superiorly and laterally as well as medially.
dilated deep inguinal ring
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F4
Surgery started with transversal incision over the mass, after external oblique fascia opened careful exploration revealed that the hernia sac was lying in between external & internal oblique muscles; the hernia sac was coming out of a very widely dilated deep inguinal ring of about 5 cm diameter (Figure 3, Figure 4) and extending forward superiorly and laterally as well as medially.
small bowels as content of the sac
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F5
A long viable segment of the small bowel with their mesentery was the content of the sac (Figure 5).
abdomen after 6-months post operation
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F6
Post-operative period was uneventful and the patient was discharged on third postoperative day, she has now been on our follow-up for the last 6 months and is doing well (Figure 6).