case_images: PMC7406459_01
case_images: giant intraparietal inguinal hernia (front view)
case_images: PAMJ-36-117-g001.jpg
case_images: PMC7406459_01_PAMJ-36-117-g001.jpg
case_images: F1
case_images: The mass was round shaped, soft, mild tender and partially reducible with gurgling sound (Figure 1, Figure 2).
case_images: giant intraparietal inguinal hernia (lateral view)
case_images: PAMJ-36-117-g002.jpg
case_images: PMC7406459_01_PAMJ-36-117-g002.jpg
case_images: F2
case_images: The mass was round shaped, soft, mild tender and partially reducible with gurgling sound (Figure 1, Figure 2).
case_images: hernia sac laying below the external oblique fascia
case_images: PAMJ-36-117-g003.jpg
case_images: PMC7406459_01_PAMJ-36-117-g003.jpg
case_images: F3
case_images: Surgery started with transversal incision over the mass, after external oblique fascia opened careful exploration revealed that the hernia sac was lying in between external & internal oblique muscles; the hernia sac was coming out of a very widely dilated deep inguinal ring of about 5 cm diameter (Figure 3, Figure 4) and extending forward superiorly and laterally as well as medially.
case_images: dilated deep inguinal ring
case_images: PAMJ-36-117-g004.jpg
case_images: PMC7406459_01_PAMJ-36-117-g004.jpg
case_images: F4
case_images: Surgery started with transversal incision over the mass, after external oblique fascia opened careful exploration revealed that the hernia sac was lying in between external & internal oblique muscles; the hernia sac was coming out of a very widely dilated deep inguinal ring of about 5 cm diameter (Figure 3, Figure 4) and extending forward superiorly and laterally as well as medially.
case_images: small bowels as content of the sac
case_images: PAMJ-36-117-g005.jpg
case_images: PMC7406459_01_PAMJ-36-117-g005.jpg
case_images: F5
case_images: A long viable segment of the small bowel with their mesentery was the content of the sac (Figure 5).
case_images: abdomen after 6-months post operation
case_images: PAMJ-36-117-g006.jpg
case_images: PMC7406459_01_PAMJ-36-117-g006.jpg
case_images: F6
case_images: Post-operative period was uneventful and the patient was discharged on third postoperative day, she has now been on our follow-up for the last 6 months and is doing well (Figure 6).