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MEDISAN
On-line version ISSN 1029-3019
Abstract
MARIN CASTRO, Pedro Xavier and BERMEO ORTEGA, Juan. Giant inguinal hernia in an adult. MEDISAN [online]. 2021, vol.25, n.4, pp.907-915. Epub July 09, 2021. ISSN 1029-3019.
The case report of a 58 years patient with personal history of a poor controlled congestive heart failure is described, who went to the emergency service of Luis Bernaza Hospital in Guayaquil, Ecuador, due to a diffuse abdominal pain, constipation and giant inguinoescrotal mass. The pertinent studies were carried out and a giant inguinoescrotal hernia is diagnosed with home loss, without data of intestinal obstruction. The Goñi Moreno technique was used during 12 days to increase the diameter of the abdominal cavity and return the content from the sack to its place. An exploratory laparotomy and hernioplastia were carried out with satisfactory result and follow up in the outpatient department during 2 months, without alterations.
Keywords : adult; giant inguinal hernia; giant inguinoescrotal hernia; pneumoperitoneum; Goñi Moreno technique.