A Giant Inguinoscrotal Hernia in the 21st Century Urban Nigeria Setting? A Case Report and Review of the Literature

Authors

  • Thaddeus Chika Agu Department of Surgery, First Choice Specialist Hospital Author
  • Mary Philomena Ikeanusi Department of Surgery, Immaculate Heart Hospital, Nkpor Anambra State Author

DOI:

https://doi.org/10.60787/njgp.v14i2.138

Keywords:

Nigeria, negligence, hernia, giant inguinoscrotal, 21st century

Abstract

Negligence could make an inguinal hernia to increase in size and with the passage of time; it may assume a giant size with accompanying medical and social impacts on the patient. Traction on the ilioinguinal nerve and spermatic cord causes dragging sensation in the groin with the attendant discomfort. The inability to wear fitting pants, the disturbance of sexual activities, and the consequent gait abnormality were some of the compelling reasons in this patient that made him to seek surgical consult. Nylon darn herniorrhaphy was done without a mesh and without any untoward postoperative event in a level II surgical facility. This case report illustrates mainly, ignorance, negligence and fear of surgery as mitigating factors in the management of this condition in our sub‑region and less of the surgical challenges a giant inguinoscrotal hernia may pose.

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Author Biography

  • Thaddeus Chika Agu, Department of Surgery, First Choice Specialist Hospital

    Department of Surgery, Imo State University, Owerri, Nigeria

References

Akpo EE. Bilateral giant inguinoscrotal hernia: Psychosocial issues and a new classification. Afr Health Sci 2013;13:166‑70.

Osifo O, Amusan TI. Outcomes of giant inguinoscrotal hernia repair with local lidocaine anesthesia. Saudi Med J 2010;31:53‑8.

Ibrahim AG, Aliyu S, Mohammed BS. Giant inguino‑scrotal hernia: Our experience in Maiduguri, North Eastern Nigeria. Int J Surg Rep

;12:2723‑6.

Gupta V, Sharma AK, Tez M. A giant inguino‑scrotal hernia. JK Sci 2007;9:200‑2.

Trakarnsagna A, Chinswangwatanakul V, Methasate A, Swangsri J, Phalanusitthepha C, Parakonthun T, et al. Giant inguinal hernia: Report

of a case and reviews of surgical techniques. Int J Surg Case Rep 2014;5:868‑72.

Coetzee E, Price C, Boutall A. Simple repair of a giant inguinoscrotal hernia. Int J Surg Case Rep 2011;2:32‑5.

Turner EJ, Malhas A, Chisti I, Oke T. Management of a giant inguinoscrotal hernia with an ulcerated base in a patient with cardiac disease. J Surg Case Rep 2010;2010:9.

Tan GY, Guy RJ, Eu KW. Obstructing sigmoid cancer with local invasion in an incarcerated inguinal hernia. ANZ J Surg 2003;73:80‑2.

Slater R, Amatya U, Shorthouse AJ. Colonic carcinoma presenting as strangulated inguinal hernia: Report of two cases and review of the

literature. Tech Coloproctol 2008;12:255‑8.

Mehendal FV, Taams KO, Kingsnorth AN. Repair of a giant inguinoscrotal hernia. Br J Plast Surg 2000;53:525‑9.

Serpell JW, Polglase AL, Anstee EJ. Giant inguinal hernia. Aust N Z J Surg 1988;58:831‑4.

Connolly DP, Perri FR. Giant hernias managed by pneumoperitoneum. JAMA 1969;209:71‑4.

Tahir M, Ahmed FU, Seenu V. Giant inguinoscrotal hernia: Case report and management principles. Int J Surg 2008;6:495‑7.

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Published

2016-12-01

Issue

Section

Case Report

How to Cite

1.
Agu TC, Ikeanusi MP. A Giant Inguinoscrotal Hernia in the 21st Century Urban Nigeria Setting? A Case Report and Review of the Literature. NJGP [Internet]. 2016 Dec. 1 [cited 2025 May 2];14(2):42-5. Available from: https://www.njgp.net.ng/index.php/home/article/view/138

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