Published Paper Details:

Inguinal hernia is one of the most common surgical conditions seen in adult males, especially among those involved in strenuous physical work. Direct inguinal hernia occurs due to weakness of the posterior wall of the inguinal canal and may extend into the scrotum in long-standing cases. The coexistence of inguinal hernia in a patient with a past history of abdominal tuberculosis is uncommon and may create diagnostic and management challenges. We present the case of a 39-year-old male who complained of right inguinoscrotal swelling for 5-6 months associated with mild pain. The swelling was reducible and had a positive cough impulse. Ultrasonography confirmed a right direct inguinoscrotal hernia with a 1.2 cm defect and protrusion of bowel loops on Valsalva maneuver. The patient had a past history of abdominal Koch's, ascites, and diagnostic laparoscopy, for which anti-tubercular treatment had been completed. Routine laboratory investigations were within acceptable limits for surgery. The patient underwent right open hernioplasty with polypropylene mesh under spinal anesthesia. The intraoperative and postoperative period was uneventful. The patient recovered well and was discharged in stable condition. This case highlights successful management of direct inguinoscrotal hernia with mesh hernioplasty in a patient with previous abdominal tuberculosis and supports the effectiveness of conventional surgical treatment in such presentations.