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Case Reports
. 2024 Sep 27;16(9):e70346.
doi: 10.7759/cureus.70346. eCollection 2024 Sep.

Inguinal Hernia With Gastric Content

Danah S Alhajjaji  1 , Mayyas A Alnajmi  1 , Waseem M Alyamani  2 , Rayyan Bassas  1 , Maher A Ghazawi  2
Affiliations
Case Reports

Inguinal Hernia With Gastric Content

Danah S Alhajjaji et al. Cureus. .

Abstract

It is incredibly rare to find stomach content inside an inguinal hernia. Here, we report a 77-year-old male patient with a long-standing history of a left inguinal hernia spanning over a decade. Notably, the hernia had become irreducible for the past 20 days. CT scan of the abdomen and pelvis revealed a substantial left inguinal hernia extending into the left scrotal region causing bowel obstruction. The hernial neck measured approximately 5.5 cm in transverse diameter. Protrusion through this defect included the stomach, small and large bowel loops, and free mesenteric fat and vessels into the hernial sac. The patient underwent a life-saving exploratory laparotomy and the hernial sac was reduced and repaired. In conclusion, inguinal hernias are common, but stomach content cases are extremely rare and they usually present with gastric outlet obstruction or gastric perforation. CT is recommended to visualize the stomach within the hernia and to exclude complications. Surgical repair is usually the management of choice.

Keywords: computed tomography; emergency general surgery; gastric; hernia; incarcerated hernia; inguinal; inguinal hernia; stomach.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Computed tomography of the abdomen and pelvis showing dilated stomach within the left inguinal hernia sac.
Figure 2
Figure 2. Computed tomography of the abdomen and pelvis coronal cross-section showing dilated stomach extending into the left inguinal hernia.
See this image and copyright information in PMC

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