730 An Atypical Presentation of a Hernia: Gastro-Inguinal Hernia

Abstract Acute presentation of an inguinal hernia is a common to general surgery in the United Kingdom (UK). Rarely intra-abdominal organs, outside small bowel and colon, can present within e.g., appendix or bladder. There has been limited publication involving incarcerated containing stomach. We case 84-year-old male with background COPD hypertension who presented Accident & Emergency three-day history vomiting diffuse abdominal pain. On examination, patient had distended abdomen generalized peritonitis, irreducible non-tender inguinoscrotal hernia. A CT scan pelvis demonstrated obstruction gastric outlet secondary large right The rapidly deteriorated clinically, which led decision palliate patient. died eight days after initial presentation. cause death was documented as likely perforated viscus inguino-scrotal This illustrates devastating prognosis acute should be considered surgical emergency immediate operative intervention take place if clinically able have surgery.