QUESTION
A 70-year-old gentleman presented with irreducible right inguino-scrotal swelling since 1-day prior to admission. He has underlying chronic lung disease and reducible right inguinal swelling since 3 years ago. He denied constipation, lower urinary tract symptoms or history of heavy weight lifting. On examination, the swelling measured 8x3 cm, oval in shape, was unable to get above the swelling and extending into the right scrotal region. The swelling was tense and irreducible. Surgery was decided on him. Intraoperative findings are seen in Figure 1. Provide the provisional diagnosis and outline the management plan of such pathology.