PMC4915956_01
Giant inguinoscrotal hernia extending below the midline between mid-inner thigh and suprapatellar bone lines.
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Physical examination revealed a giant inguinoscrotal hernia below the midpoint of the inner thigh (Fig. 1).
Giant hernia sac containing the whole of the small intestine along with its mesentery.
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Forced reduction of the bowel through the deep inguinal ring proved to be impossible, so it was decided to perform an extended lower midline incision and connect it with the inguinal incision, in order to allow better access to the abdominal cavity (Fig. 2, Fig. 3).
Successful treatment of giant inguinoscrotal hernia with a drainage placed in the inguinal canal and one in the scrotum.
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The scrotal skin was left (Fig. 4).
6 month follow up showing no signs of recurrence and good wound closure.
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No hematoma or scrotal edema developed and at 6 month follow up he showed no signs of recurrence or further urinary tract infections (Fig. 5).