{"title":"Strangulated right inguinoscrotal hernia with scrotal bowel evisceration.","authors":"Mawuena A Kornyoh, Donald T Enti, Vincent Kudoh","doi":"10.4314/gmj.v59i1.6","DOIUrl":null,"url":null,"abstract":"<p><p>Spontaneous bowel evisceration with umbilical hernia is very rare and has been reported in a patient with chronic liver disease with tense ascites. There has been one reported case of spontaneous evisceration in a patient with inguinal hernia and chronic obstructive pulmonary disease. Here, we present a case of a right inguinoscrotal hernia with spontaneous scrotal bowel evisceration in a patient with no apparent underlying chronic conditions. Management of such a case involves stabilising the patient and avoiding further injury to the bowel, with the definitive treatment being surgical repair. Using a nylon darn repair technique seems better than a prosthetic mesh due to the risk of infection of the latter. The principle of surgical treatment is that the bowel is carefully inspected, a thorough saline wash of the abdomen is done and appropriately repairing the hernia defect.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"59 1","pages":"34-36"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224131/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ghana medical journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4314/gmj.v59i1.6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Spontaneous bowel evisceration with umbilical hernia is very rare and has been reported in a patient with chronic liver disease with tense ascites. There has been one reported case of spontaneous evisceration in a patient with inguinal hernia and chronic obstructive pulmonary disease. Here, we present a case of a right inguinoscrotal hernia with spontaneous scrotal bowel evisceration in a patient with no apparent underlying chronic conditions. Management of such a case involves stabilising the patient and avoiding further injury to the bowel, with the definitive treatment being surgical repair. Using a nylon darn repair technique seems better than a prosthetic mesh due to the risk of infection of the latter. The principle of surgical treatment is that the bowel is carefully inspected, a thorough saline wash of the abdomen is done and appropriately repairing the hernia defect.