Giant inguinoscrotal hernia: case report and management principles.

We present a case of a giant inguinoscrotal hernia reaching up to the patient's knees. It was only partially reducible but was not associated with any other complications. It was treated by an inguinal incision and the reduction of contents aided by a small midline infra-umbilical incision. The hernial sac contained loops of small bowel along with its mesentery, appendix, cecum and ascending colon. The defect was repaired using prolene mesh.