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Indirect inguinal hernia with cord inside sac (Srinagar Hernia): Case report
1Department of Surgery, DHS Hospitals, Srinagar, 190001, Kashmir, India.
Giant epididymal cysts are rare, especially when they, along with the testis and cord, become contents of an indirect inguinal hernia sac. This unique case highlights a new hernia type, "Srinagar Hernia," emphasizing cord extrasacal management to prevent recurrence.
Area of Science:
- Urology
- Surgical Pathology
- Hernia Surgery
Context:
- Giant epididymal or spermatic cord cysts are exceptionally rare.
- Indirect inguinal hernias rarely present with the testis, cord, and epididymal cyst as sac contents.
Purpose:
- To report a unique case of a giant epididymal cyst within an indirect inguinal hernia sac.
- To introduce a novel classification for indirect inguinal hernia containing the spermatic cord, termed "Srinagar Hernia".
Summary:
- A 61-year-old male presented with scrotal swelling due to a giant epididymal cyst.
- Surgical exploration revealed a complete type indirect inguinal hernia with the testicle, cord, and cyst within the sac.
- The surgical approach involved excising the cyst and placing the cord extrasacally.
Impact:
- This case report expands the understanding of rare hernia presentations.
- It underscores the importance of extrasacal management of the cord in such hernias to prevent recurrence.
- The proposed "Srinagar Hernia" classification offers a new descriptor for this specific anatomical anomaly.
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