Serendipitous Stomach in Scrotal Sac: An Unusual Cause of Recurrent Gastric Outlet Obstruction

Inguinoscrotal hernias commonly contain the bowel and omentum and very rarely contain the stomach - a distant, fixed organ. Diagnosis can be challenging as presentation ranges from asymptomatic, to gastric outlet obstruction and in extremis. Management can vary from conservative to surgical. We report the case of a large bilateral inguinoscrotal hernia containing the stomach and presenting with recurrent gastric outlet obstruction during the COVID-19 pandemic in a Caribbean island. We precluded perioperative morbidity by doing an initial combined conservative approach for the underlying reactive gastropathy followed by a single-stage, elective, bilateral inguinal hernia repair.