# Incarcerated Stomach Within an Inguinal Hernia: A Rare Surgical Presentation

## TL;DR

A rare case of an incarcerated stomach in an inguinal hernia is presented, highlighting the importance of timely diagnosis to prevent serious complications.

## Contribution

This paper reports a rare surgical case of gastric herniation into an inguinal canal and emphasizes its clinical significance.

## Key findings

- Computed tomography confirmed the stomach herniated into the left inguinal canal with signs of hypoperfusion.
- Emergency surgery revealed no gastric ischaemia, and the patient recovered well after gastropexy.
- The case underscores the need for awareness of this rare condition to avoid life-threatening complications.

## Abstract

The herniation of the stomach into an inguinoscrotal hernia is exceptionally rare, with very few cases described in surgical literature. The recognition of this presentation is important due to the risk of complications such as obstruction, ischaemia and perforation. We present the case of an elderly gentleman who presented with persistent vomiting and a large, tender left inguinoscrotal hernia. Computed tomography (CT) imaging confirmed the herniation of the stomach into the left inguinal canal with features suggestive of hypoperfusion. The patient underwent an emergency exploratory laparotomy to assess for gastric ischaemia, followed by gastropexy. The patient had an uncomplicated recovery and was discharged with an outpatient follow-up appointment. The awareness of this rare presentation is essential for the timely management and prevention of life-threatening complications.