Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 16, 2023; 11(2): 401-407
Published online Jan 16, 2023. doi: 10.12998/wjcc.v11.i2.401
Repair of a giant inguinoscrotal hernia with herniation of the ileum and sigmoid colon: A case report
Shih-Hung Liu, Ching-Hen Yen, Hsu-Ping Tseng, Je-Ming Hu, Ching-Han Chang, Ta-Wei Pu
Shih-Hung Liu, Hsu-Ping Tseng, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
Ching-Hen Yen, Division of Urological Surgery, Department of Surgery, Songshan Branch, Tri-Service General Hospital, National Defense Medical Center, Taipei 10581, Taiwan
Je-Ming Hu, Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
Ching-Han Chang, Department of Surgery, Kaohsiung Armed Forces General Hospital, Kaohsiung 802, Taiwan
Ta-Wei Pu, Division of Colon and Rectal Surgery, Department of Surgery, Songshan Branch, Tri-Service General Hospital, National Defense Medical Center, Taipei 10581, Taiwan
Author contributions: Liu SH and Yen CH contributed to the drafting of the manuscript; Pu TW contributed to revising the final draft. Tseng HP contributed to the acquisition of data; Chang CH and Hu JM contributed to the investigation and interpretation of the data; All authors have read and approved the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ta-Wei Pu, MD, Lecturer, Department of Surgery, Songshan Branch, Tri-Service General Hospital, National Defense Medical Center, No. 131, Jiankang Rd., Songshan District, Taipei 10581, Taiwan. tawei0131@gmail.com
Received: September 25, 2022
Peer-review started: September 25, 2022
First decision: October 18, 2022
Revised: November 11, 2022
Accepted: December 19, 2022
Article in press: December 19, 2022
Published online: January 16, 2023
Core Tip

Core Tip: Giant inguinoscrotal hernias are defined as hernias extending below the midpoint of the inner thigh of the patient in the standing position. Symptoms may vary, and serious complications, including intestinal obstruction and strangulation, may cause peritonitis and sepsis. Emergency surgery should be performed because of the risks of strangulation, perforation, and progressive necrosis. In this case, it was surprising to find the simultaneous existence of the ileum and sigmoid colon in the large inguinal hernia sac. The use of the inguinal approach combined with mini-exploratory laparotomy for giant hernial repair is beneficial and should be considered.