Mawji Sadiq, Peterknecht Elizabeth, Zaman Shafquat, Mohamedahmed Ali Yasen Y, Mobarak Dham
General Surgery, Sandwell and West Birmingham NHS Trust, Birmingham, GBR.
Cureus. 2022 Aug 1;14(8):e27563. doi: 10.7759/cureus.27563. eCollection 2022 Aug.
This case report details a clinically rare presentation in which a middle-aged man was diagnosed clinically with a large irreducible inguinoscrotal hernia. However, intraoperatively, a large volume of old blood/clots was seen and aspirated, without a definite hernia being identified. Inguinal hernias remain a clinical diagnosis, and imaging is used only in equivocal cases. Owing to the number of differential diagnoses associated with groin swelling, careful clinical assessment is critical in differentiating between the various causes. Rupture of the inferior epigastric vessels was suspected, and although rare, it should be considered as a differential diagnosis as this may alter ongoing management.
本病例报告详细描述了一种临床罕见的表现，一名中年男性临床上被诊断为巨大不可复性腹股沟阴囊疝。然而，术中发现并吸出了大量陈旧血液/血凝块，未发现明确的疝。腹股沟疝仍然是一种临床诊断，仅在诊断不明确的病例中使用影像学检查。由于与腹股沟肿胀相关的鉴别诊断数量较多，仔细的临床评估对于区分各种病因至关重要。怀疑存在腹壁下血管破裂，虽然罕见，但应将其视为鉴别诊断之一，因为这可能会改变后续的治疗方案。
