Incarcerated multiple recurrent inguinal hernia with incidental finding of textiloma in the abdominal wall from previous hernia repair

Multiple recurrent inguinal hernia is a diagnostic and surgical challenge. In terms of additional incarceration of the recurrent hernia, few options for the surgeon are available. We present a case of multiple recurrent left sided inguinal hernia in female patient presented with clinical signs of mechanical bowel obstruction. Preoperative computed tomography of the abdomen presented the hernia defect and also revealed the presence of textiloma in the abdominal wall from previous hernia repair. Intraoperatively there were no signs of bowel ischemia. Hernia defect was closed with resorbable mesh (bridging “in – lay” repair). Postoperative surgical site infection of the wound occurred. Patient was discharged from hospital on day 17.