Time is the best healer and revealer: Doctors we just diagnose— Spontaneous resolution of large inguino-scrotal hernia with mesenteric volvulus

Abstract

Incarcerated inguino-scrotal hernias associated with mesenteric volvulus typically represent a surgical emergency due to the imminent risk of bowel ischemia and necrosis. While the standard of care in 2026 dictates immediate surgical exploration for non-reducible hernias with signs of strangulation, rare "spontaneous" reductions can occur, revealing the dynamic nature of bowel herniation.