Inguinal tumorous mass – an uncommon late manifestation of chronic organized hematoma after laparoscopic transabdominal preperitoneal inguinal hernia repair: Two cases report

BACKGROUND: Hematoma is a common complication following inguinal hernia repair. It is usually diagnosed early after surgical procedure and is spontaneously, or after evacuation, resorbed. Chronic organized hematoma is rare surgery complication, there is no relevant article after laparoscopic hernia repair in literature. CASES PRESENTATION: 62- and 54-year-old men presented a groin palpable tumorous mass several month after uncomplicated laparoscopic transabdominal preperitoneal inguinal hernia repair. Their dominant complaints were mechanical restrictions. The ultrasound showed a solid formation subcutaneously. The removal and histopathology examination confirmed a chronic organized hematoma and at the same time, this ended the patients ‘problems. CONCLUSION: Both patients represent uncommon cases of late postoperative difficulties, uncharacteristic localization of chronic organized hematoma and the need for surgical reintervention to exclude neoplasm.