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 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 Inguinal hernia in a female with broad ligament cyst as content

2021 ◽  
Vol 8 (4) ◽  
pp. 1337
Author(s):  
Arul K. Chinnappan ◽  
Shanthi P. Swaminathan ◽  
Vikas Kawarat ◽  
Rajeswari Mani ◽  
Indrajit Anandakannan ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Urinary Bladder ◽  
Acute Appendicitis ◽  
Fallopian Tube ◽  
Broad Ligament ◽  
Vermiform Appendix ◽  
Lichtenstein Repair ◽  
Hernia Sac ◽  
Laparoscopic Excision ◽  
The Right

Inguinal hernia in females is relatively uncommon as compared to males. It is interesting to note that 1 male in 5 and 1 female in 50 will eventually develop an inguinal hernia in a lifetime. The hernia sac may contain unusual structures such as the vermiform appendix, acute appendicitis, ovary, fallopian tube and, urinary bladder. Here we present a case of 20-year-old female presented with complaints of swelling in the right inguinal region. Diagnosed as a case of right inguinal hernia with Broad ligament cyst as content. Managed by laparoscopic excision of cyst and then right Lichtenstein repair for inguinal hernia.

scholarly journals Infected femorocele: case report of an extremely rare surgical condition in a middle-aged lady suffering from a painful inguinal swelling

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Sabyasachi Bakshi
Keyword(s):  
Lymph Node ◽  
Femoral Hernia ◽  
Urine Analysis ◽  
Inguinal Lymph Node ◽  
Histopathological Examination ◽  
Stable Condition ◽  
Sensitivity Test ◽  
Inguinal Region ◽  
Hernia Sac ◽  
The Right

Abstract Background The hydrocele of the femoral hernia sac, an extremely rare occurrence, is termed femorocele. Very few authentically reported cases of femorocele are available in the literature. The present case, diagnosed as a case of infected femorocele, was managed successfully by excision of the femorocele sac and repair of the femoral hernia. To the best of the author’s knowledge, it is the first-ever reported case of infected femorocele. Case presentation A 30-year-old lady presented with a painful 3 cm × 2 cm swelling in the right inguinal region. Though the swelling was there for 2 years, the pain and indurations started after a trivial blunt trauma over the swelling 7 days ago. The patient was febrile and mild tachycardic but had no dysuria. The oval-shaped, tense-cystic, poorly translucent, non-pulsatile, non-reducible swelling showed no cough impulse. There was also a (1.5 cm × 0.5 cm) palpable right-sided superficial inguinal lymph node. Routine blood and urine analysis reports were normal except leukocytosis (10,000/mm3) with neutrophilia. Ultrasonography of the right inguino-labial region revealed a mildly echogenic cystic swelling without any intra-abdominal communication. Exploration of the right inguinal region revealed a cystic (3 cm × 2 cm) swelling, medial to the femoral vessels, containing amber-colored fluid. The distal sac was excised, and anatomical repair of femoral canal defect was done after transfixing the neck of the femorocele sac. Fibro-fatty-collagenous tissue with mixed inflammatory cells along with a flattened mesothelial lining cell layer was found on histopathological examination. Sections from inguinal lymph node showed reactive hyperplasia. Culture of fluid from the sac revealed growth of Escherichia coli. The patient was put on anti-inflammatory drugs and antibiotics according to a sensitivity test. Patient was discharged in stable condition after 5 days. Four months after the operation, the patient is doing well, remaining asymptomatic and without any sign of recurrence. Conclusions The hydrocele of the femoral hernia sac is an extremely rare disease. When not infected, it presents a painless inguinal soft cystic swelling, commonly in women of fourth to sixth decade. This was diagnosed intraoperatively in all cases reported till date. Excision of the sac after transfixation of the neck and anatomical repair are the treatment of choice. In elderly patients, with larger defect, the mesh repair can be opted for. The femorocele may also get infected by uropathogens, and proper antibiotics should be used after a sensitivity test.

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 A Rare Case of De Garengeot Hernia: A Challenging Diagnosis and a New Approach

2021 ◽  
pp. 1-3
Author(s):  
Sleiman Marwan Julien ◽  
Sleiman Marwan Julien ◽  
Litchinko Alexis ◽  
Toso Christian ◽  
Ris Frédéric ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Hernia Repair ◽  
Femoral Hernia ◽  
Clinical Presentation ◽  
Emergency Setting ◽  
Rare Presentation ◽  
Hernia Sac ◽  
Double Approach ◽  
The Right ◽  
De Garengeot Hernia

De Garengeot’s hernia is a rare entity in which the appendix is located within a femoral hernia and is almost invariably encountered incarcerated in an emergency setting. The clinical presentation is usually that of an incarcerated femoral hernia and is indistinguishable from other incarcerated femoral hernias. Here, we report on a 48-year-old female patient, known for a post-operative chronic seroma in the right groin since childhood, with a rare clinical presentation of a De Garengeot hernia. An abdominal CT-scan was performed, revealing an appendicitis with a stercolith in a femoral hernia. Generally, an inguinal approach alone (McVay procedure) is chosen and provides access for both appendectomy and hernia repair. In the absence of concomitant acute appendicitis, trans-abdominal pro-peritoneal laparoscopy (TAPP) could also be used as a single approach. In case of a rare presentation of acute appendicitis with probable contamination of the groin, we propose the double approach of laparoscopic appendectomy and hernia repair either with (if hernia sac is not opened during surgery) or without mesh. This approach is not yet described in the literature, and we think it the best technique to perform the appendectomy and hernia repair with little contamination of the groin.

scholarly journals Laparoscopic Treatment of an Incarcerated Meckel’s Diverticulum in a Femoral Hernia

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Christoph Paasch ◽  
Gianluca De Santo ◽  
Peter Look ◽  
Katherina Boettge ◽  
Michael Hünerbein
Keyword(s):  
Femoral Hernia ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Laparoscopic Treatment ◽  
Hernia Sac ◽  
Experienced Surgeon ◽  
Blind Ending ◽  
The Right ◽  
Transabdominal Preperitoneal Procedure ◽  
Tangential Resection

Meckel’s diverticulum (MD) is the persistence of the omphalomesenteric duct. It is usually asymptomatic but may present with bleeding, infections, and intestinal obstruction. It also may be a content of a hernia sac, a so-called Littre hernia. Herein, we will present the case of a 75-year-old female, who suffered from a painful swelling of the right inguinal region. Ultrasound imaging detected an inguinal hernia with incarcerated blind ending small bowel. Immediately, a laparoscopy was conducted. We diagnosed a right femoral hernia with an incarcerated MD. A TAPP (transabdominal preperitoneal) procedure was performed and the MD tangential stapled. Due to an uneventful postoperative course, the patient left the hospital after two days. An incarceration of a MD in a femoral hernia is rare. Tangential resection of the MD with simultaneous hernia repair in a TAPP technique seems to be a sufficient approach, when it is conducted by an experienced surgeon.

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 Torsion of Hydrosalpinx with Concurrent Acute Cholecystitis: Case Report and Review of Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Preeti R. John ◽  
Amelia M. Pasley
Keyword(s):  
Abdominal Pain ◽  
Acute Cholecystitis ◽  
Fallopian Tube ◽  
Bladder Wall ◽  
Age Groups ◽  
Lower Abdominal Pain ◽  
Abdominal Ultrasound ◽  
Acute Calculous Cholecystitis ◽  
Upper Abdominal ◽  
The Right

Introduction.Isolated torsion of the Fallopian tube is an uncommon cause of acute lower abdominal pain and can occur in women of all age groups. Cholecystitis is a frequent cause of upper abdominal pain. We present an unusual case with the presence of these two distinct pathological entities occurring concurrently in the same patient, causing simultaneously occurring symptoms. To our knowledge, this is the first reported presentation of such a case.Methods.We describe a 34-year-old premenopausal woman who presented with right sided upper and lower abdominal pain and nausea. Abdominal ultrasound (US) revealed acute cholecystitis. Vaginal US was suggestive of right hydrosalpinx. Intravenous antibiotics were administered and consent was obtained for operative intervention. During laparoscopy, the right Fallopian tube with hydrosalpinx was noted to be twisted three times. The right ovary appeared normal. The gall bladder wall was thickened and inflamed. Laparoscopic right salpingectomy and cholecystectomy were performed.Results.Surgical pathology revealed hydrosalpinx with torsion and acute calculous cholecystitis. The patient had an uneventful postoperative course and was discharged home on the first postoperative day. Her symptoms resolved after the procedure.Conclusions.In women with abdominal pain, both gynecologic and nongynecologic etiologies should be considered in the differential diagnoses. Concurrent presence of symptomatic gynecologic and nongynecologic intra-abdominal pathology is rare. Isolated Fallopian tube torsion is rare and is associated most often with hydrosalpinx. Some torqued Fallopian tubes can be salvaged. Laparoscopy is useful in management of both Fallopian tube torsion and cholecystitis.

scholarly journals Littré meets de garengeot: meckel’s diverticulum and appendix in a femoral hernia

2013 ◽  
Vol 95 (6) ◽  
pp. e9-e10 ◽  
Author(s):  
M Racy ◽  
S Ramesh
Keyword(s):  
Femoral Hernia ◽  
Current Knowledge ◽  
Meckel’S Diverticulum ◽  
Vermiform Appendix ◽  
Meckel's Diverticulum ◽  
Hernia Sac ◽  
Anatomical Structures ◽  
Operative Findings

Littre’s and de Garengeot hernias are rare operative findings, the former describing the presence of a Meckel’s diverticulum in a hernia sac and the latter describing the presence of the vermiform appendix in a femoral hernia. The finding of both of these anatomical structures in the same hernia is exquisitely rare and infrequently described. In the following report such a case is described and the current knowledge surrounding these unusual hernias is discussed.

scholarly journals Unusual Contents of the Femoral Hernia

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Ahmed Alzaraa
Keyword(s):  
Female Patient ◽  
Fallopian Tube ◽  
Clinical Examination ◽  
Femoral Hernia ◽  
Pelvic Cavity ◽  
Good Recovery ◽  
Case Presentation ◽  
Uterine Tube ◽  
Surgical Ward ◽  
The Right

Different contents in the femoral hernia have been reported in the literature, but herniation of the fallopian tube in a femoral hernia is very rare due to its normal anatomical position. Case Presentation. A female patient was admitted to the surgical ward for a lump in the right groin. Clinical examination confirmed a right femoral hernia. The patient underwent surgery to repair the hernia. Intraoperatively, the right uterine tube was found in the hernia. The tube was reduced back into the pelvic cavity and the hernia was repaired. After making good recovery, the patient was referred to the gynaecologist for further assessment. Conclusion. This case is educational as it highlights the importance of managing women with femoral masses with care.

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