title: A case of duodenal rupture secondary to massive inguino-scrotal hernia.
abstract: BACKGROUND
  Surgical intervention for giant inguino-scrotal herniae in the acute setting is high risk with significantly increased incidence of morbidity and mortality. While uncommon in modern practise, there are several surgical issues and approaches that need to be considered when this problem presents.
  
  
  METHODS
  We describe the unusual occurrence of acute duodenal rupture as a direct result of a giant inguino-scrotal hernia. The literature on the operative management of giant inguino-scrotal hernia is also reviewed.
  
  
  CONCLUSIONS
  Giant inguino-scrotal herniae are best managed electively with full preoperative work up and assessment. Surgery in the acute patient is fraught with difficulty leading to increased morbidity.
authors: Department of Clinical Surgery, St. James's Hospital, Dublin 8, Ireland. jmartins@tcd.ie
authors: J D
authors: JD
authors: Martin-Smith
authors: J T
authors: JT
authors: Garvin
authors: M
authors: M
authors: Knox
authors: T
authors: T
authors: Boyle
mesh_terms: D000369:Aged, 80 and over; D003287:Contrast Media; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017809:Fatal Outcome; D006552:Hernia, Inguinal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media