Giant Inguinal Hernia: Report of a Case and Reviews of Surgical Techniques

Overview

Journal Int J Surg Case Rep

Specialty General Surgery

Date 2014 Dec 3

PMID 25462054

Citations 25

Authors

Atthaphorn Trakarnsagna

Vitoon Chinswangwatanakul

Asada Methasate

Jirawat Swangsri

Chainarong Phalanusitthepha

Thammawat Parakonthun

Voraboot Taweerutchana

Thawatchai Akaraviputh

Affiliations

Soon will be listed here.

Abstract

Introduction: Inguinal hernia is one of the most surgical common diseases. Giant inguinal hernia is more unusual and significantly challenging in terms of surgical management. It is defined as an inguinal hernia that extends below the midpoint of inner thigh when the patient is in standing position.

Presentation Of Case: A 67-year-old male presented with giant right-side inguinal hernia with symptoms of partial colonic obstruction and significant weight loss. Barium enema revealed ascending colon, cecum and ileum contained in hernia sac without significant lesions of large bowel. He underwent hernia repair with omentectomy. Hernioplasty with polypropylene mesh was performed without any complications. He recovered uneventfully.

Discussion: There were several repair techniques suggested by published articles such as resection of the content and increased intraabdominal volume procedure. Many key factors for management of the giant inquinal hernia were discussed. A new classification of the giant inquinal hernia was described.

Conclusion: Surgical repair for the giant inquinal hernia is challenging and correlated with significant morbidity and mortality due to increased intra-abdominal pressure.

Citing Articles

Critical Considerations in Emergency Repair of Giant Bilateral Inguinoscrotal Hernias.

Pornkul P, Bertucci R, Swift K, Mushaya C Cureus. 2025; 17(3):e80242.

PMID: 40061848 PMC: 11890591. DOI: 10.7759/cureus.80242.

Giant inguinal hernia with mal-rotation in a resource-limited area: Case report.

Burale A, Kahir M, Ahmed M, Elmi A, Said A, Elmi H Int J Surg Case Rep. 2025; 127:110947.

PMID: 39874805 PMC: 11808671. DOI: 10.1016/j.ijscr.2025.110947.

Giant Inguino-Scrotal Hernia With Loss of Domain: Surgical Report and Literature Review.

Koller A, Oberholzer J, Rossler F Cureus. 2024; 16(11):e74599.

PMID: 39735024 PMC: 11676470. DOI: 10.7759/cureus.74599.

Management strategy of giant inguinoscrotal hernia-a case series of 24 consecutive patients surgically treated over 17 years period.

Zuvela M, Galun D, Bogdanovic A, Palibrk I, Djukanovic M, Miletic R Hernia. 2024; 29(1):50.

PMID: 39704858 DOI: 10.1007/s10029-024-03242-2.

Lichtenstein repair for giant inguinoscrotal hernia: a retrospective case-control study.

Cuihong J, Fan W, Yingmo S Hernia. 2024; 29(1):48.

PMID: 39688647 DOI: 10.1007/s10029-024-03248-w.

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