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Verdicts of Inguinal Hernia Surgery: Report of Rare Case

Background and aim: To present our experience with unexpected findings during hernia surgery, either unusual hernia contents or pathologic individuals, like neoplastic masses, masked as a hernia. Patients and methods: We studied retrospectively 550 patients with inguinal hernia who were admitted to our surgery department over a 6-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 (Amyand’shernia) 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 extra testicular intra scrotal 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.