scholarly journals Incarcerated Femoral Hernia Containing Ipsilateral Fallopian Tube

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Stefanos Atmatzidis ◽  
Grigorios Chatzimavroudis ◽  
Dimitrios Dragoumis ◽  
Konstantinos Atmatzidis
Keyword(s):  
Emergency Department ◽  
Fallopian Tube ◽  
Postoperative Period ◽  
Femoral Hernia ◽  
Rare Condition ◽  
Emergency Operation ◽  
Hernia Sac ◽  
Preoperative Ultrasonography ◽  
Femoral Vessels ◽  
Groin Swelling

Femoral hernias are more common in women and lead to a substantial higher rate for an emergency operation, due to strangulation. Incarcerated femoral hernia with fallopian tube as a content is an extremely rare condition. A 20-year-old woman presented to the emergency department complaining of a 6-day right groin swelling, which became painful and tender to palpation during the last 48 hours. Preoperative ultrasonography detected an oedematous hernia sac, above the femoral vessels, suggesting the presence of an incarcerated femoral hernia. The patient eventually underwent emergency surgery and the diagnosis of a strangulated femoral hernia sac, containing fallopian tube, was established. No resection of the uterine tube was performed and the hernia was repaired with polypropylene plug. The postoperative period was uneventful and the woman was discharged on the second postoperative day.

scholarly journals Femoral Hernia Containing the Right Fallopian Tube: A Rare Finding

2019 ◽  
Vol 41 (08) ◽  
pp. 520-522
Author(s):  
Duarte Viveiros ◽  
André Lázaro ◽  
Hélder Carvalho
Keyword(s):  
Emergency Department ◽  
Fallopian Tube ◽  
Femoral Hernia ◽  
Surgical Repair ◽  
High Rate ◽  
Pelvic Cavity ◽  
Hernia Sac ◽  
Rare Finding ◽  
The Right ◽  
Groin Hernias

AbstractFemoral hernias comprise a small proportion of all groin hernias. They are more common in women and have a high rate of incarceration and strangulation, leading to emergency repair. A 61-year-old female patient was admitted to the emergency department complaining of a 2-day painful lump in the right groin, that had become more intense in the last 24 hours. Physical examination suggested the presence of a strangulated femoral hernia, and the patient underwent emergency surgical repair. Intraoperatively, the right fallopian tube was observed in the hernia sac. Since there were no signs of ischemia, the tube was reduced back into the pelvic cavity and the hernia was repaired. The postoperative period was uneventful, and the patient was discharged without complications, 3 days after surgery.

scholarly journals Femoral hernia containing the right fallopian tube: chronic pain with menstruation

2019 ◽  
Vol 101 (7) ◽  
pp. e157-e159
Author(s):  
P Marcos-Santos ◽  
M Bailon-Cuadrado ◽  
E Choolani-Bhojwani ◽  
D Pacheco-Sanchez
Keyword(s):  
Fallopian Tube ◽  
Femoral Hernia ◽  
Groin Pain ◽  
Abdominal Ultrasound ◽  
Adult Women ◽  
Hernia Sac ◽  
Anatomical Structures ◽  
Ectopic Testis ◽  
Abdominal Symptoms ◽  
The Right

Femoral hernias represent less than 10% of groin hernias and appear mainly in adult women; incarceration is more usual than in other hernias. Content found within the sac is commonly small bowel or omentum. Other anatomical structures, such as appendix, bladder, Meckel’s diverticulum, ectopic testis, stomach and gynaecological organs are extremely unusual. A 48-year-old woman presented with intense right groin pain over 48 hours. Her past medical history revealed periodical moderate right groin pain coincident with her menstrual cycles, usually self-limited. No abdominal symptoms or fever were present. On physical examination, an incarcerated right femoral hernia was suspected. Subsequently abdominal ultrasound revealed a right femoral hernia containing an echogenic structure with conserved vascularisation. The patient underwent an emergency surgery. During the procedure the right fallopian tube and several small cysts were discovered as the hernia sac contents. As no ischaemic signs were observed, and the sac was sutured and reduced. Femoral hernioplasty was accomplished with polypropylene mesh. The postoperative course was uneventful and the patient was discharged within 24 hours. After an exhaustive literature review, we have found few cases reporting the presence of fallopian tube in adult women with femoral hernia, but none described a recurrent groin pain coinciding with menstruation, as in this case.

scholarly journals A case of a three-month-old female infant with incarcerated femoral hernia

2019 ◽  
Vol 147 (5-6) ◽  
pp. 368-370
Author(s):  
Jovan Mladenovic ◽  
Nebojsa Videnovic ◽  
Milan Filipovic ◽  
Rasa Mladenovic ◽  
Zlatan Elek
Keyword(s):  
Fallopian Tube ◽  
Femoral Hernia ◽  
Surgical Intervention ◽  
Clinical Signs ◽  
Left Ovary ◽  
Female Infant ◽  
Preoperative Preparation ◽  
Hernia Sac

Introduction. Femoral hernia in children is very rare and it appears in 0.2% of all hernias during childhood. It is three times more frequent in girls. The aim of this paper is to present a female infant with incarcerated femoral hernia. Case outline. A female infant aged three months was hospitalized with classical clinical signs of incarcerated left femoral hernia. After preoperative preparation, a transversal inguinal incision was performed on the left side and an incarcerated femoral hernia was confirmed with a torn and gangrenous left ovary and fallopian tube. Following adnexectomy, the hernia sac was ligated and resected and hernioplasty was made by the reconstruction of the Cooper?s ligament. Conclusion. A delayed surgical intervention for incarcerated femoral hernia in a female can result in a loss of the ovary and the fallopian tube, which may lead to serious consequences later in life.

scholarly journals De Garengeot Hernia: Case Report and Review of the Literature of a Rare Femoral Hernia

2021 ◽  
Author(s):  
Leo Licari ◽  
Sofia Campanella ◽  
Claudia Carolla ◽  
Simona Viola ◽  
Giuseppe Salamone
Keyword(s):  
Femoral Hernia ◽  
Abdominal Cavity ◽  
Fluid Collection ◽  
Rare Condition ◽  
Hernia Sac ◽  
Blind Ending ◽  
Tender Mass ◽  
Operative Findings ◽  
The Right ◽  
De Garengeot Hernia

AbstractDe Garengeot hernia is a rare femoral hernia defined as the presence of the appendix within the femoral hernia sac. The incidence of appendicitis in this type of hernia is a rare condition that accounts for 0.08–0.13% of all De Garengeot hernias. We describe the case of a 61-year-old woman that presented at the emergency department with a tender mass (diameter 10 × 8 cm) in the right groin region for 5 days associated with pain in lower right abdomen and accompanied by fever (38 °C). Computed tomography (CT) of the abdomen revealed the presence of a complex fluid collection with small foci of air in the right inguinal region, measuring 9 × 7 × 10 cm in the 3 orthogonal dimensions and a blind ending tubular structure extending from the caecal base into the groin mass through a narrowed neck defect, medial to the common femoral vessels. The CT scan demonstrated the suspected diagnosis of De Garengeot hernia complicated by acute appendicitis. The intra-operative findings confirmed the diagnosis. The patient was successfully managed operatively. The surgical strategy took into account the need to significantly reduce the diffusion of the infection inside the abdominal cavity. The patient was discharged on the fifth postoperative day without peri-/postoperative complications.

scholarly journals Isolated Herniation of the Bladder into the Inguinal Canal: A Rare Case Report

2021 ◽  
Vol 9 (1) ◽  
pp. 23-23
Author(s):  
Murat Kartal
Keyword(s):  
Inguinal Canal ◽  
Rare Condition ◽  
Intestinal Loop ◽  
Hernia Sac ◽  
Left Groin ◽  
Rare Case Report ◽  
Abdominal Examination ◽  
Bladder Herniation ◽  
Groin Swelling

Herniation of the bladder towards the inguinal canal is a rare condition. A 76-year-old male patient with long-term left groin swelling was admitted to the emergency clinic complaining of abdominal pain that started about 5 hours ago. The patient, whose abdominal examination was normal, had an incarcerated hernia in the left inguinal region. On superficial ultrasonography, intestinal loop herniation in the left inguinal canal and adjacent loculated fluid of 60x20 mm in size was observed. In the computed abdominal tomography, it was determined that the majority of the bladder had passed through the left inguinal canal and into the hernia sac. Lichtenstein method hernioplasty was applied to the patient who was taken to emergency surgery. Isolated bladder herniation is an extremely rare condition. Recognition of bladder herniation in the preoperative period may prevent possible complications during surgery.

A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

2020 ◽  
pp. 1-3
Author(s):  
Jinping Xu ◽  
Jinping Xu ◽  
Ruth Wei ◽  
Salieha Zaheer
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Femoral Hernia ◽  
Rare Case ◽  
Hernia Recurrence ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

scholarly journals De Garengeot’s hernia with appendicitis—a rare cause of an acutely painful groin swelling

2019 ◽  
Vol 2019 (5) ◽  
Author(s):  
Adam O’Connor ◽  
Peter Asaad
Keyword(s):  
Acute Appendicitis ◽  
Hernia Repair ◽  
Mesh Repair ◽  
Vermiform Appendix ◽  
Short Review ◽  
Review Of The Literature ◽  
Hernia Sac ◽  
De Garengeot’S Hernia ◽  
De Garengeot Hernia ◽  
Groin Swelling

Abstract De Garengeot hernia is a rare subtype of femoral hernia whereby the vermiform appendix is located within the hernial sac. Even rarer is the presence of appendicitis within the hernia sac. De Garengeot’s hernia is difficult to diagnose pre-operatively and can prove technically difficult at operation particularly with regards to mobilization of the caecum and appendix in order to perform appendicectomy. Laparoscopic, open, with and without mesh repair of de Garengeot hernia have all been described in the literature with varying degrees of success. We present a case of an 82 year old lady presenting with an acutely painful right sided groin lump. CT scan revealed the presence of de Garengeot hernia with acute appendicitis. We describe in text and photo format our approach to the hernia repair, appendicectomy and provide a short review of the literature with regards to the different operative approaches to such a patient.

De Garengeot Hernia: Appendicitis within a Femoral Hernia

2005 ◽  
Vol 71 (6) ◽  
pp. 526-527 ◽  
Author(s):  
Gabriel Akopian ◽  
Magdi Alexander
Keyword(s):  
Inguinal Hernia ◽  
Femoral Hernia ◽  
18Th Century ◽  
Hernia Sac ◽  
Rare Finding ◽  
Amyand Hernia ◽  
De Garengeot Hernia

Many surgeons are familiar with Amyand hernia, which is an inguinal hernia sac containing an appendix. However, few surgeons know of the contribution of Rene Jacques Croissant de Garengeot, an 18th century Parisian surgeon, to hernias. He is quoted in the literature as the first to describe the appendix in a femoral hernia sac. We discuss the case of an 81-year-old woman who presented with appendicitis within a femoral hernia, a rare finding at surgery that is almost never diagnosed preoperatively. We also propose crediting Croissant de Garengeot by naming this condition after him. Although his full last name is Croissant de Garengeot, for convenience we suggest the simple diagnosis of “de Garengeot hernia.”

scholarly journals De Garengeot’s hernia - a case of incarcerated femoral hernia with acute gangrenous appendicitis and literature review

2020 ◽  
Vol 73 (7-8) ◽  
pp. 239-244
Author(s):  
Veselin Stanisic ◽  
Miodrag Radunovic ◽  
Miljan Zindovic ◽  
Balsa Stanisic
Keyword(s):  
Literature Review ◽  
Femoral Hernia ◽  
Extensive Literature ◽  
Rare Type ◽  
Hernia Sac ◽  
Urgent Surgery ◽  
Gangrenous Appendicitis ◽  
Defect Repair ◽  
De Garengeot’S Hernia ◽  
Immediate Surgery

Introduction. De Garengeot?s hernia is a rare type of femoral hernia that contains the appendix within the hernia sac and it is found in 0.5-5% of cases. The incidence of appendicitis within the de Garengeot?s hernia is 0.08-0.13%. We present a case of de Garengeot?s hernia with a gangrenous appendicitis and an extensive literature review of published cases. Case Report. We present a case of a 68-year-old woman who underwent urgent surgery due to an incarcerated femoral hernia and preoperatively undiagnosed de Garengeot?s hernia with a gangrenous appendicitis within the femoral hernia sac. Conclusion. De Garengeot?s hernia is most commonly diagnosed intraoperatively and requires immediate surgery in order to avoid complications. There are no recommendations regarding the choice of surgical procedure for femoral defect repair.

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