Giant inguinal hernia with mal-rotation in a resource-limited area: Case report
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11310%2F25%3A10515630" target="_blank" >RIV/00216208:11310/25:10515630 - isvavai.cz</a>
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=EcSMWqFUjc" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=EcSMWqFUjc</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.ijscr.2025.110947" target="_blank" >10.1016/j.ijscr.2025.110947</a>
Alternative languages
Result language
angličtina
Original language name
Giant inguinal hernia with mal-rotation in a resource-limited area: Case report
Original language description
Introduction: Giant inguinoscrotal hernias (GIH), defined as hernias extending below the inner thigh midpoint in a standing position, are rare and often seen in resource-limited settings due to delayed medical care. These hernias pose surgical challenges, particularly in low- and middle-income countries (LMICs), where standardized management protocols are lacking, and risks such as cardiorespiratory compromise are significant. Case presentation: A 55-year-old male presented with a large, irreducible right inguinoscrotal hernia of 1.5 years duration. Elective surgery involved sac separation and laparotomy, revealing herniation of bowel segments, including the terminal ileum and sigmoid colon, with concurrent intestinal malrotation. Ladd's procedure, appendectomy, and hernia repair were performed without complications. Postoperative recovery was uneventful, with the patient remaining asymptomatic during follow-up. Discussion: GIH management depends on hernia classification. While Type I hernias require simpler repairs, Types II and III often necessitate advanced techniques, such as Preoperative Progressive Pneumoperitoneum or bowel resection, to prevent abdominal compartment syndrome (ACS). Anatomical anomalies, such as malrotation, complicate surgical planning. Successful outcomes rely on individualized, resource-appropriate strategies and meticulous care, especially in LMICs. Conclusion: GIH presents unique challenges, particularly in resource-constrained settings. Tailored approaches, informed by classification and patient-specific factors, are essential. This case underscores the importance of innovative strategies, careful planning, and standardized protocols to improve outcomes for GIH patients globally.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30109 - Pathology
Result continuities
Project
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Continuities
S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
International Journal of Surgery Case Reports
ISSN
2210-2612
e-ISSN
2210-2612
Volume of the periodical
127
Issue of the periodical within the volume
February
Country of publishing house
NL - THE KINGDOM OF THE NETHERLANDS
Number of pages
4
Pages from-to
110947
UT code for WoS article
001413479900001
EID of the result in the Scopus database
2-s2.0-85216097856