title: Giant inguinoscrotal hernia containing intestinal segments and urinary bladder successfully repaired by simple hernioplasty technique: a case report.
abstract: BACKGROUND
  Giant inguinoscrotal hernias are extremely rare nowadays, but they may still be encountered after years or even decades of neglect. Such hernias containing both bowel loops and urinary bladder have not been reported in the medical literature to date, to the best of our knowledge.
  
  
  METHODS
  We report a case of a 65-year-old Moroccan man who presented with giant right-sided and long-standing inguinoscrotal hernia with compromised quality of life due to walking difficulties and sexual discomfort. Computed tomography revealed a voluminous hernia sac containing small and large bowel loops, greater omentum, and urinary bladder. Surgical repair was done through the classical inguinal incision using the Lichtenstein tension-free hernioplasty technique. No debulking or abdominal enlargement procedure had to be performed, apart from a partial omentectomy.
  
  
  CONCLUSIONS
  Giant inguinoscrotal hernia containing intestinal segments and urinary bladder is a challenging surgical disease. A Lichtenstein tension-free technique seems to be the best surgical procedure for both the patient and the operating surgeon. It should be used whenever possible in such cases.
authors.affiliation: Department of Digestive Surgery I, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco. mtarchouli@gmail.com.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Tarchouli
authors.affiliation: Department of Digestive Surgery I, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco. ratbi-ibrahim@gmail.com.
authors.forename: Moulay-Brahim
authors.initials: MB
authors.lastname: Ratbi
authors.affiliation: Department of Digestive Surgery I, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco. dr.bouzroud@yahoo.fr.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Bouzroud
authors.affiliation: Department of Digestive Surgery I, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco. aitidirbadr@live.fr.
authors.forename: Badr
authors.initials: B
authors.lastname: Aitidir
authors.affiliation: Department of Digestive Surgery I, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco. aitali.mounaim@yahoo.fr.
authors.forename: Abdelmounaim
authors.initials: A
authors.lastname: Ait-Ali
authors.affiliation: Department of Digestive Surgery I, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco. ahmedbounaim@gmail.com.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Bounaim
authors.affiliation: Department of Digestive Surgery I, Faculty of Medicine and Pharmacy, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco. khalid-sair@gmail.com.
authors.forename: Khalid
authors.initials: K
authors.lastname: Sair
mesh_terms: D000368:Aged; D006552:Hernia, Inguinal / Q000000981:diagnostic imaging* / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007422:Intestines / Q000601:surgery*; D008297:Male; D011788:Quality of Life; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed; D001743:Urinary Bladder / Q000601:surgery*