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

K. Ballas, Th Kontoulis, Ch Skouras, A Triantafyllou, Asterios Triantafyllou, Nikolaos Symeonidis, N Symeonidis, T. Pavlidis, Th Pavlidis, Georgios Marakis, G Marakis, A. Sakadamis
Hippokratia · 2009 · vol. 13(3) , pp. 169–71 · PMID:19918306 · PMC2765295 · W94384198
Case report OA: green CC0 ⤵ 1 in-corpus citation
📄 Open PDF View on OpenAlex View on PubMed
⚙ AI-generated summary by gemini-2.5-flash-lite, 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.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

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.

My notes (saved in your browser only)

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

References (13)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:07:04.513278+00:00
License: CC0 · commercial use OK