Presentation
2 years long left inguinoscrotal swelling presenting with acute severe pain
Patient Data
Study of the scrotum, both testes, epididymis and spermatic cords was normal. Widened inguinal canal with gaseous artefacts obscuring the root of left hemiscrotum resulted in me proceeding with a quick CT correlation to rule out bowel incarceration.
Indirect inguinal hernia with herniation of descending colon - proximal sigmoid colon along with sigmoid mesentery into the scrotum. There is associated mild fluid around the bowel. No evident bowel mural thickening, features of ischemia or obstruction.
Case Discussion
Followed by small bowel, large bowel is the next common content of indirect hernia. An impending incarceration with irreducibility can result in the severe acute presentation and warrants surgical intervention.
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