A case report of a gastric perforation in a giant inguinoscrotal hernia: A two-step approach

INTRODUCTION: An inguinoscrotal hernia is defined as giant if descending below the midpoint of the inner thigh of a patient in upright position. It is an uncommon condition and rarely encountered in clinical practice that can lead to severe complications such as gastric perforation. PRESENTATION OF CASE: We present a case of a 50-year old male suffering from a gastric perforation in a giant inguinoscrotal hernia that was managed in a two-step approach. DISCUSSION: In our patient, we opted for a two-step approach. The initial phase consisted in the release of the stomach, repair of the perforation, the control of the infection and the stabilization of the patient. The repair of the hernia was performed uneventfully three months later in the second phase. CONCLUSION: In a giant inguinal hernia with gastric perforation, delaying the hernia repair when possible can decrease the complexity of the procedure and most likely its morbidity and mortality.