Acute gastric rupture in a giant inguinoscrotal hernia

Inguinoscrotal gastric herniation is a rare occurrence and generally presents with obstruction when encountered. We present a case of acute spontaneous gastric rupture in a giant inguinoscrotal hernia which was managed surgically in a one-stage procedure with primary gastric and hernia repair. A subtotal colectomy was performed due to risk of volvulus as well as allowing for primary closure of the abdominal wall. This case illustrates the possibilities in terms of hernia size and contents, in addition to the potential complications that may ensue. Moreover, this case illustrates that adherence to the principles of hernia repair can equip the surgeon to deal with rare and unfamiliar presentations.