Giant interparietal inguinal hernia with undescended testis-A Rare case report

Area of Science:

• Surgical Case Reports
• Abdominal Wall Anatomy
• Hernia Pathophysiology

Background:

• Interparietal inguinal hernia is a rare condition where the hernia sac courses between abdominal wall layers.
• Pre-operative diagnosis of interparietal hernias is notably challenging despite simple treatment.
• This presentation involves a large interparietal hernia with an undescended testis.

Purpose of the Study:

• To report a rare case of interparietal inguinal hernia with an undescended testis.
• To emphasize the diagnostic difficulties associated with interparietal hernias.
• To highlight the importance of intraoperative findings in confirming diagnosis.

Main Methods:

• Case presentation of a 62-year-old male with a large lower abdominal swelling.
• Utilized Ultrasonography (USG) and Contrast-Enhanced Computed Tomography (CECT) for pre-operative imaging.
• Intraoperative exploration confirmed the diagnosis of interparietal inguinal hernia.

Main Results:

• A large (26x22cm) abdominal lump was identified as an interparietal inguinal hernia.
• The hernia sac was located between the external and internal oblique muscles.
• The right testis was intra-abdominal and atrophied; the external inguinal ring was obstructed.

Conclusions:

• An interparietal hernia co-existing with an undescended testis represents a very rare clinical scenario.
• Diagnostic imaging modalities like USG and CT scans present significant challenges for accurate pre-operative diagnosis.
• Intraoperative findings remain crucial for definitive diagnosis in such complex cases.