Asian Journal of Case Reports in Surgery

Inguinal hernias are the most common anomaly of the inguinal region and account for about 75% of all abdominal wall hernias [1-3]. We report a case of a middle-aged gentleman who presented with a swelling in the right lower abdomen and right flank extending up to the right subcoastal margin and congenital right sided cryptochidism.Pre-operative clinical and radiological assessment were suggestive of a right iliac fossa interparietal hernia with non-visualization of the right testicle. However, on table, the patient was found to have a right indirect inguinal omentocele with the right testicle within the hernia sac, and the hernia sac extending into the intermuscular plane, up to the right subcoastal margin.