Unusual findings in inguinal hernia surgery: report of 6 rare cases.
Title | Unusual findings in inguinal hernia surgery: report of 6 rare cases. |
Publication Type | Journal Article |
Year of Publication | 2009 |
Authors | Ballas, K., Kontoulis T., Skouras C., Triantafyllou A., Symeonidis N., Pavlidis T., Marakis G., & Sakadamis A. |
Journal | Hippokratia |
Volume | 13 |
Issue | 3 |
Pagination | 169-71 |
Date Published | 2009 Jul |
ISSN | 1790-8019 |
Abstract | BACKGROUND AND AIM: To present our experience with unexpected findings during hernia surgery, either unusual hernial contents or pathologic entities, like neoplastic masses, masquerading as a hernia.PATIENTS AND METHODS: We studied retrospectively 856 patients with inguinal hernia who were admitted to our surgical department over a 9-year period. In addition, our study included patients complaining of inguinal protrusion, even without a definitive diagnosis of inguinal hernia upon admission.RESULTS: Five patients presented with unusual hernial contents. Three of them had a vermiform appendix in their sac. Acute appendicitis (Amyands hernia) was found in only one case. One patient had epiploic appendagitis related with a groin hernia. Moreover, an adult woman was diagnosed with ovarian and tubal inguinal hernia. Finally, we report a case of a massive extratesticular intrascrotal lipoma, initially misdiagnosed as a scrotal hernia.CONCLUSION: a hernia surgeon may encounter unexpected intraoperative findings. It is important to be prepared to detect them and apply the appropriate treatment. |
Alternate Journal | Hippokratia |
PubMed ID | 19918306 |
PubMed Central ID | PMC2765295 |