Hernia inguinal bilateral gigante conteniendo estómago, intestino delgado y colonUn hecho excepcional

  1. Carvajal Balaguera , J. 1
  2. María Jesús Sanz Continente 2
  3. Martín García-Almenta, M. 1
  4. Albeniz Aquiriano, L.A. 2
  5. de Pablo Zurdo, L. 2
  6. Ferrufino Villalba, M. 2
  7. Camuñas Segovia, J. 1
  1. 1 Hospital Central Cruz Roja San José y Santa Adela de Madrid. Servicio de Cirugía General y Digestiva
  2. 2 Hospital Central Cruz Roja San José y Santa Adela de Madrid. Servicio de Radiodiagnóstico
Journal:
Revista española de investigaciones quirúrgicas

ISSN: 1139-8264

Year of publication: 2018

Volume: 21

Issue: 4

Pages: 148-152

Type: Article

More publications in: Revista española de investigaciones quirúrgicas

Abstract

The giant inguinoscrotal hernia containing stomach is now an exceptional fact. It usually manifests as a mild or moderate abdominal condition and is diagnosed by chance as a radiological finding. The treatment of this entity represents a real therapeutic challenge for the surgeon and requires a multidisciplinary approach; to avoid the complications generated by forced reinsertion of the viscera from the hernia sac into the abdominal cavity due to the loss of the domicile right. We present a case of bilateral giant inguinoscrotal hernia containing on the right side the gastric antrum and on the left side, small and large intestine loops, in a 70-year-old male patient, who manifested by abdominal pain and nausea of 15-day of evolution. We perform a review of the aspects related to epidemiology, cynical manifestations, diagnosis and treatment of this exceptional pathology.