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Giant Inguinal Hernia in a Decompensated Cirrhotic Patient

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Giant Inguinal Hernia in a Decompensated Cirrhotic Patient

A 60-year-old man with decompensated alcoholic cirrhosis and a history of a scrotal swelling for the past 2 years presented to a quaternary hospital. He reported limited mobility and impaired quality of life. Medical history included refractory ascites and variceal hemorrhage bleeding. He denied previous episode of hepatic encephalopathy or spontaneous bacterial peritonitis. On physical examination, he was malnourished and had severe ascites, an eroded umbilical hernia, and a giant nonreducible inguinal hernia with an approximate volume of 40 cm3 (Figure A).

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