An incarcerated inguinal hernia with unusual content

A 74-year-old man presented to the surgical clinic with a 6-month history of epigastric pain, dysphagia, and weight loss of more than 15 kg. His medical history included active smoking and moderate alcohol consumption, and he reported the appearance of an inguinal hernia for several years. Clinical examination revealed a large left inguinoscrotal hernia that was irreducible. In view of the atypical symptoms, an upper gastrointestinal series and an abdominal computed tomography were planned and revealed gastroptosis with incarceration of the stomach in the hernia (Fig 1).
Source: Surgery - Category: Surgery Authors: Source Type: research