Tahir Senol, Jovanovska Frosina, Abdiu Suad, Glavinov Maja Sofronievska
Faculty of Medical Sciences, Goce Delcev University, Stip, North Macedonia, and University Surgery Hospital "St. Naum Ohridski", Visceral Surgery Department, 11 Oktomvri 53, 1000 Skopje, North Macedonia.
University Surgery Hospital, "St. Naum Ohridski", Visceral Surgery Department, 11 Oktomvri 53, 1000, Skopje, North Macedonia.
J Surg Case Rep. 2025 Jan 22;2025(1):rjaf011. doi: 10.1093/jscr/rjaf011. eCollection 2025 Jan.
The recurrence rate of inguinal hernia is 1-10%, most often in the inguinal region, and seldom in different locations. A 72-year-old man with a large soft swelling in the right ventrolateral abdominal region without swelling in the scrotum, operated on right inguinal hernia at pediatric age. Clinical findings revealed a giant right ventrolateral hernia and abdominal CT showed weakness of the abdominal wall with a 25 cm long hernial sac with an apex under the right costal arch and a base at the deep inguinal opening, that was diagnosed as a recurrent inguinal hernia with unusual presentation. Hernioplasty without opening the hernial sac was performed in an atypical manner. The patient was discharged from the hospital without pain or discomfort at the follow-up. The common presentation of recurrent inguinal hernia is inguinal-scrotal but an unusual presentation should be reconsidered with a proper diagnosis and adequate surgical treatment.
腹股沟疝的复发率为1%-10%，最常发生在腹股沟区，很少出现在其他部位。一名72岁男性，右腹外侧区有一个巨大的软性肿物，阴囊无肿大，小儿时期曾接受过右侧腹股沟疝手术。临床检查发现为巨大右侧腹外侧疝，腹部CT显示腹壁薄弱，疝囊长25厘米，顶端位于右肋弓下，底部位于腹股沟深环，诊断为复发性腹股沟疝伴不典型表现。采用非典型方式进行了不打开疝囊的疝修补术。患者出院时无疼痛或不适，随访情况良好。复发性腹股沟疝的常见表现为腹股沟-阴囊型，但对于不典型表现应进行恰当诊断并给予充分的手术治疗。
