A 67-year-old woman from a rural residence arrived at our emergency department presenting with a large right inguinal mass that had progressed in size over 10 years, now with acute onset of right inguinal pain and nausea.
Clinical examination revealed a large right inguinal hernia, 20cm in length and 18cm in width (fig. 1). The hernia was non-reducible when gentle pressure was applied and so a strangulated right inguinal hernia was diagnosed. The patient underwent abdominal computed tomography that identified a large right inguinal hernia with an initial radiologic sign of bowel suffering (fig. 2 A-B). The patient underwent urgent open surgical repair of the strangulated right inguinal hernia. No signs of bowel infarction were noted during the surgery. The postoperative course was uneventful and the patient was discharged on day 2.
Inguinal hernias are predominant in males and there is a higher age-related incidence in men in their fifties and sixties. In females, chronic cough, older age, taller height, and rural residence have been associated with a higher incidence of inguinal hernia.1,2 Giant inguinal hernia, however, is more unusual and significantly challenging in terms of surgical management.3 For our case, rural residence and older age were the two main factors for the development of such a large inguinal hernia.Ethical responsibilitiesProtection of persons and animals
The authors declare that no experiments on humans or animals were carried out in relation to this study.Data confidentiality
The authors declare that no patient data appear in this article.Right to privacy and informed consent
The authors declare that no patient data appear in this article.Financial disclosure
No financial support was received in relation to this study/article.Conflict of interest
The authors declare that there is no conflict of interest.
Please cite this article as: Rossi UG, Torcia P, Cariati M. Giant right inguinal hernia. Revista de Gastroenterología de México. 2017;82:85–86.