Abstract
Inguinal hernias are a widespread condition, responsible for a large number of acute abdomen cases. Typically, indirect, rather than direct, hernias lead to complications, as a consequence of their narrower hernial defect. We report a 71-year-old male patient with a rather rare incidence of a direct incarcerated hernia who presented with acute pain in the left inguinal area at a university general hospital in Thessaloniki, Greece, in 2017. Upon clinical examination, an irreducible inguinal mass was palpated. Therefore, the existence of a complicated hernia was suspected. The patient underwent an emergency repair, during which it was established that the hernia was direct and incarcerated and that its sac contained an ischaemic epiploic appendage. The hernia was successfully repaired with mesh, the patient recovered uneventfully and was discharged five days later. Despite the rarity of complicated direct inguinal hernias, they should always be included in the differential diagnosis of irreducible groin masses as they can increase severe complications.
Publication details
- DOI
- 10.18295/squmj.12.2022.72
- Journal
- Sultan Qaboos University Medical Journal, 23(4), 547-550
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Papamichail, S., Karlafti, E., Malliou, P., Zatagias, A., Ioannidis, A., Netta, S., Panidis, S., & Paramythiotis, D. (2025). A Rare Case of a Direct Incarcerated Inguinal Hernia Containing an Epiploic Appendage and a Literature Review. Sultan Qaboos University Medical Journal, 23(4), 547-550. https://doi.org/10.18295/squmj.12.2022.72
MLA 9
Papamichail, Stella, et al. "A Rare Case of a Direct Incarcerated Inguinal Hernia Containing an Epiploic Appendage and a Literature Review." Sultan Qaboos University Medical Journal, vol. 23, no. 4, 2025, pp. 547-550. https://doi.org/10.18295/squmj.12.2022.72.
Chicago (author–date)
Papamichail, Stella, Eleni Karlafti, Petra Malliou, Apostolos Zatagias, Aristeidis Ioannidis, Smaro Netta, Stavros Panidis, and Daniel Paramythiotis. 2025. "A Rare Case of a Direct Incarcerated Inguinal Hernia Containing an Epiploic Appendage and a Literature Review." Sultan Qaboos University Medical Journal 23 (4): 547-550. https://doi.org/10.18295/squmj.12.2022.72.
Harvard
Papamichail, S., Karlafti, E., Malliou, P., Zatagias, A., Ioannidis, A., Netta, S., Panidis, S. and Paramythiotis, D. (2025) 'A Rare Case of a Direct Incarcerated Inguinal Hernia Containing an Epiploic Appendage and a Literature Review', Sultan Qaboos University Medical Journal, 23(4), pp. 547-550. doi:10.18295/squmj.12.2022.72.
Vancouver
Papamichail S, Karlafti E, Malliou P, Zatagias A, Ioannidis A, Netta S, et al. A Rare Case of a Direct Incarcerated Inguinal Hernia Containing an Epiploic Appendage and a Literature Review. Sultan Qaboos University Medical Journal. 2025;23(4):547-550. doi:10.18295/squmj.12.2022.72
IEEE
S. Papamichail, E. Karlafti, P. Malliou, A. Zatagias, A. Ioannidis, S. Netta, S. Panidis, and D. Paramythiotis, "A Rare Case of a Direct Incarcerated Inguinal Hernia Containing an Epiploic Appendage and a Literature Review," Sultan Qaboos University Medical Journal, vol. 23, no. 4, pp. 547-550, 2025, doi: 10.18295/squmj.12.2022.72.