A case of large bilateral inguino-scrotal hernias which contained an ileocecal portion, transverse colon, and sigmoid colon

Abstract

A 72-year-old man was seen because of bilateral bulging in the inguinal region ; his scrotum had enlarged to be soccer ball size, and his penis was not visible. Following abdominal CT scanning, a diagnosis of bilateral inguinal hernias containing bowel loops was made. At surgery, a large amount of intestine including an ileocecal portion and the transverse colon were found in the right hernia sac, while the sigmoid colon was found in the left hernia sac. The right hernia hilum was repaired using a Kugel patch (size L), the left hernia hilum was repaired using a direct Kugel patch (size L). No recurrence has been detected during over two years of follow-up.