Strangulated right inguinoscrotal hernia with scrotal bowel evisceration.

Abstract

Spontaneous bowel evisceration with umbilical hernia is very rare and has been reported in a patient with chronic liver disease with tense ascites. There has been one reported case of spontaneous evisceration in a patient with inguinal hernia and chronic obstructive pulmonary disease. Here, we present a case of a right inguinoscrotal hernia with spontaneous scrotal bowel evisceration in a patient with no apparent underlying chronic conditions. Management of such a case involves stabilising the patient and avoiding further injury to the bowel, with the definitive treatment being surgical repair. Using a nylon darn repair technique seems better than a prosthetic mesh due to the risk of infection of the latter. The principle of surgical treatment is that the bowel is carefully inspected, a thorough saline wash of the abdomen is done and appropriately repairing the hernia defect.<h4>Funding</h4>None declared.