Open AccessVerdicts of Inguinal Hernia Surgery: Report of Rare Case
Author(s) -
Lalita Bansal,
Ashish Dhiman
Publication year - 2022
Publication title -
eas journal of medicine and surgery
Language(s) - English
Resource type - Journals
eISSN - 2663-7332
pISSN - 2663-1857
DOI - 10.36349/easjms.2022.v04i01.005
Subject(s) - medicine , vermiform , inguinal hernia , hernia , groin , appendix , general surgery , lipoma , surgery , hernia repair , appendicitis , paleontology , biology
Background and aim: To present our experience with unexpected findings during hernia surgery, either unusual hernia contents or pathologic individuals, like neoplastic masses, masked as a hernia. Patients and methods: We studied retrospectively 550 patients with inguinal hernia who were admitted to our surgery department over a 6-year period. In addition, our study included patients complaining of inguinal protrusion, even without a definitive diagnosis of inguinal hernia upon admission. Results: Five patients presented with unusual hernial contents. Three of them had a vermiform appendix in their sac. Acute appendicitis (Amyand’shernia) was found in only one case. One patient had epiploic appendagitis related with a groin hernia. Moreover, an adult woman was diagnosed with ovarian and tubal inguinal hernia. Finally, we report a case of a massive extra testicular intra scrotal lipoma, initially misdiagnosed as a scrotal hernia. Conclusion: A hernia surgeon may encounter unexpected intraoperative findings. It is important to be prepared to detect them and apply the appropriate treatment.