A cadaveric massive strangulated left indirect inguinal hernia

Abstract

Many forms of inguinal hernias have been found to have different contents ranging from abdominal to pelvic organs. A form of inguinal hernia with its contents made up of almost the whole of the small intestine and having a herniating sac as long as 28cm in length is indeed a rare form of inguinal hernia. Strangulated inguinal hernia is one of the commonest emergencies in surgery. The diagnosis may be made by physical examination disclosing a visible bulge or an easily palpable mass on straining with an examining finger in the external ring, the content of the hernia sac and the operation may vary. We present a rare case of a strangulated unusual left indirect inguinal hernia in a 56-year-old male cadaver with a large mass containing loops of small intestine which extends from the pubic tubercle to the mid thigh and found within the scrotal sac.

Keywords: Strangulated inguinal hernia, loops of small intestine, irreducible