An inguinal hernia 'hard to stomach'

Shawn Liechty, Andrew D. Eiref, Keerthivasan Vengatesan, Samuel P. Barasch, Xiang D. Dong, Patrick W. Zimmerman, Michael Nicoara, Krishan Patel, Heath Walden, Simon D. Eiref

Research output: Contribution to journalArticlepeer-review


Inguinal hernias containing the stomach are extremely rare, and have never been described in females. We are reporting the case of a 79 year old female who presented in septic shock with a left inguinal hernia containing the stomach, resulting in gastric perforation and loss of abdominal domain. She underwent emergency exploratory laparotomy with manual reduction of the hernia, wedge resection of the perforated gastric segment, abdominal washout, and closure of the abdominal fascia using biological mesh. She had a complicated but successful postoperative course, and was discharged to a rehabilitation center three weeks after hospital admission.

Original languageEnglish
Article numberrjad416
JournalJournal of Surgical Case Reports
Issue number7
StatePublished - Jul 2023
Externally publishedYes


  • emergency general surgery
  • female
  • gastric perforation
  • Inguinal hernia
  • loss of abdominal domain
  • stomach


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