PERFORATED GASTRIC ULCER IN THE RIGHT INGUINOSCROTAL HERNIA SAC WITH INTRASACULAR PERITONITIS – A CASE REPORT AND SYSTEMATIC REVIEW OF THE LITERATURE

Alexandru  Munteanu; Ștefan  Pătrașcu; Valeriu  Șurlin; Adrian  Dobrinescu

doi:10.33695/rojes.v5i1.77

Alexandru Munteanu 3rd Department of General Surgery, University of Medicine and Pharmacy of Craiova, Craiova, Romania
Ștefan Pătrașcu 1st Clinic of General Surgery, University of Medicine and Pharmacy of Craiova, Romania
Valeriu Șurlin 1st Clinic of General Surgery, University of Medicine and Pharmacy of Craiova, Romania
Adrian Dobrinescu Clinic of Thoracic Surgery, University of Medicine and Pharmacy of Craiova, Romania

DOI: https://doi.org/10.33695/rojes.v5i1.77

Keywords: giant hernia, perforated ulcer, stomach

Abstract

Inguinal hernia (IH) is the most common abdominal wall hernia and herniorrhaphy represents one of the most frequent surgical interventions worldwide. Giant IH are rare conditions in developed countries and due to the extreme dimensions represent a surgical challenge. We report a rare case of giant right inguinal-scrotal hernia in a patient with clinical signs of intrasaccular peritonitis that required urgent surgical intervention. With the suspicion of intestinal perforation, the patient underwent immediate surgical intervention. Uniquely, in the hernia sac, the stomach was protruding and we could identify a perforated antral ulcer. Although the patient survived the surgical intervention, the severe anemia and septic shock led to the existus of the patient after 10 hours.

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