Groin Pain: A Case of a Giant Inguinal Hernia with Duodenal Perforation

Chebl RB, Madden B and Iversen C

Department of Emergency Medicine, American University of Beirut, Lebanon
Department of Emergency Medicine, Memorial Hermann Hospital, Texas

^*Correspondance to: Ralphe Bou Chebl 

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Abstract:

Introduction: Giant inguinal hernias are defined as those extending below the midpoint of the inner thigh, in the standing position. They are extremely rare, accounting for approximately 0.5% of inguinal hernias.Case Report: We describe a case of a 62-year Hispanic old male who presented to a community hospital Emergency department with groin pain. The patient was found to have a giant inguinal hernia on physical exam. On CT scan, he was found to have duodenal herniation and perforation within the hernia. The patient later developed septic shock and was taken to surgery for operative repair. Despite operative intervention, the patient passed away.Conclusion: This is a case of septic shock resulting from a herniated and perforated duodenum as well as a review of the literature on giant inguinal hernias and their management in the emergency department.

Keywords:

Giant inguinal hernia; Septic shock; Duodenum; Perforation

Cite the Article:

Chebl RB, Madden B, Iversen C. Groin Pain: A Case of a Giant Inguinal Hernia with Duodenal Perforation. Ann Clin Case Rep. 2016; 1: 1090.