Olvera Jesus A, Solis Marfil Pedro, Guerra Bocanegra Erick R, Meza Hernandez Carlo P, Gomez Martinez Sharon A
General Surgery, Clinica Hospital ISSSTE Constitución, Monterrey, MEX.
General Surgery, Instituto Mexicano del Seguro Social, Monterrey, MEX.
Cureus. 2025 Jul 5;17(7):e87338. doi: 10.7759/cureus.87338. eCollection 2025 Jul.
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.
腹股沟疝在临床环境中很常见，偶尔可能以复杂的形式出现，给手术带来重大挑战。其巨大腹股沟阴囊型且失去正常解剖范围时，会带来重大的手术挑战。这些疝伴有相当大的风险，特别是由于腹腔内器官回纳过程中潜在的心肺并发症。在患有肝硬化等合并症的患者中，复杂性会增加。我们报告一例47岁男性酒精性肝硬化患者，其发生了巨大腹股沟阴囊疝，疝内容物包含结肠和小肠袢。治疗包括术前逐步气腹和注射肉毒杆菌毒素进行准备，随后进行择期疝修补术，取得了良好的临床效果。该病例强调了采用个体化、多学科方法以优化复杂病情患者手术效果的重要性。
