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Giant Inguinoscrotal Hernia With Loss of Domain in a Patient With Alcoholic Liver Cirrhosis: A Case Report

Year: 2025

Type: article

Abstract: Inguinal hernias are commonly seen in clinical settings and may occasionally present in complex forms that pose significant surgical challenges. In its giant inguinoscrotal form with loss of domain, it presents a significant surgical challenge. These hernias are associated with considerable risks, particularly due to potential cardiorespiratory complications during reintegration of the intra-abdominal organs. The complexity increases in patients with comorbidities such as liver cirrhosis. We present the case of a 47-year-old male patient with alcoholic liver cirrhosis who developed a giant inguinoscrotal hernia containing loops of colon and small bowel. Treatment involved preoperative preparation with progressive pneumoperitoneum and botulinum toxin administration, followed by elective hernioplasty, which resulted in a favorable clinical outcome. This case underscores the importance of an individualized, multidisciplinary approach to optimize surgical outcomes in patients with complex medical conditions.

Source: Cureus

DOI: 10.7759/cureus.87338

Authors: Jesus A Olvera, Pedro Solis Marfil, Erick R Guerra Bocanegra, Carlo P Meza Hernandez, Sharon A Gomez Martinez

Institutions: Institute for Social Security and Services for State Workers, Mexican Social Security Institute, Universidad del Valle de México, Universidad Autónoma de Nuevo León

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4412049463

FWCI:

Cites: 8

Cited by:

Related to: 10