Giant inguinal hernia with mal-rotation in a resource-limited area: Case report.

Introduction: Giant inguinoscrotal hernias (GIH), defined as hernias extending below the inner thigh midpoint in a standing position, are rare and often seen in resource-limited settings due to delayed medical care. These hernias pose surgical challenges, particularly in low- and middle-income countries (LMICs), where standardized management protocols are lacking, and risks such as cardiorespiratory compromise are significant.

Case Presentation: A 55-year-old male presented with a large, irreducible right inguinoscrotal hernia of 1.