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Year : 2016  |  Volume : 14  |  Issue : 2  |  Page : 42-45

A giant inguinoscrotal hernia in the 21st century urban Nigeria setting? A case report and review of the literature

1 Department of Surgery, First Choice Specialist Hospital, Nkpor, Anambra State; Department of Surgery, Imo State University, Owerri, Nigeria
2 Department of Surgery, Immaculate Heart Hospital, Nkpor, Anambra State, Nigeria

Correspondence Address:
Thaddeus Chika Agu
First Choice Specialist Hospital, Nkpor, Anambra State; Imo State University, Owerri
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1118-4647.189754

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Negligence could make an inguinal hernia to increase in size and with the passage of time; it may assume a giant size with accompanying medical and social impacts on the patient. Traction on the ilioinguinal nerve and spermatic cord causes dragging sensation in the groin with the attendant discomfort. The inability to wear fitting pants, the disturbance of sexual activities, and the consequent gait abnormality were some of the compelling reasons in this patient that made him to seek surgical consult. Nylon darn herniorrhaphy was done without a mesh and without any untoward postoperative event in a level II surgical facility. This case report illustrates mainly, ignorance, negligence and fear of surgery as mitigating factors in the management of this condition in our sub-region and less of the surgical challenges a giant inguinoscrotal hernia may pose.

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