Unusual findings in inguinal hernia surgery: report of 6 rare cases.

K. Ballas, Th Kontoulis, Ch Skouras, Asterios Triantafyllou, Nikolaos Symeonidis, T. Pavlidis, Georgios Marakis, A. Sakadamis
In: Hippokratia · 2009 · vol. 13(3) , pp. 169–71 · PMID:19918306 · W94384198
article OA: green CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study retrospectively reviewed 856 inguinal hernia surgeries and found unusual contents such as vermiform appendix, epiploic appendage, ovary/tube, and extratesticular lipoma.

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Abstract

BACKGROUND AND AIM: To present our experience with unexpected findings during hernia surgery, either unusual hernial contents or pathologic entities, like neoplastic masses, masquerading as a hernia. PATIENTS AND METHODS: We studied retrospectively 856 patients with inguinal hernia who were admitted to our surgical department over a 9-year period. In addition, our study included patients complaining of inguinal protrusion, even without a definitive diagnosis of inguinal hernia upon admission. RESULTS: Five patients presented with unusual hernial contents. Three of them had a vermiform appendix in their sac. Acute appendicitis (Amyands hernia) was found in only one case. One patient had epiploic appendagitis related with a groin hernia. Moreover, an adult woman was diagnosed with ovarian and tubal inguinal hernia. Finally, we report a case of a massive extratesticular intrascrotal lipoma, initially misdiagnosed as a scrotal hernia. CONCLUSION: a hernia surgeon may encounter unexpected intraoperative findings. It is important to be prepared to detect them and apply the appropriate treatment.

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