Incarcerated Stomach Within an Inguinal Hernia: A Rare Surgical Presentation

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.