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.

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.

Transient congenital Horner syndrome and multiple peripheral nerve injury: a scarcely reported combination in birth trauma

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Marina Ramos Pérez ◽  
Pedro Cabrera Vega ◽  
Lourdes Urquía Martí ◽  
Fermín García-Muñoz Rodrigo
Keyword(s):  
Clinical Examination ◽  
Facial Palsy ◽  
Brachial Plexus Injury ◽  
Birth Trauma ◽  
Case Presentation ◽  
Horner Syndrome ◽  
Neurological Risk ◽  
Cranial Mri ◽  
Proper Diagnosis ◽  
The Right

Abstract Objectives To describe an infrequent association of multiple injuries in relation to perinatal trauma and the challenge of clinical examination for proper diagnosis. Case presentation A male newborn was born at 41 weeks gestational age to a multipara diabetic mother, by forceps. Apgar 8/9. Upon admission, he exhibited axial hypotonia, right brachial paresis, a large left parietal cephalohematoma, but no skull fractures or orbital injuries. He also showed ocular misalignment with marked esotropia of the right eye, ptosis and mild anisocoria, suggesting right Horner syndrome, and left facial palsy. During the oculo-cephalic reflex examination he exhibited a normal adduction and impaired abduction of the right eye. The cranial MRI showed an extensive left parietal cephalohematoma, with internal foci of recent bleeding, and supra and infratentorial laminar subdural hematomas. No lesions were evidenced in the cavernous sinuses. The recovery of extra and intraocular motility at one month of life in our patient highlighted the transitory nature of the lesions and was reassuring for the parents. Conclusions This case highlights the importance of a detailed clinical examination in the initial evaluation of a newborn at neurological risk after birth trauma. The association of sixth cranial nerve palsy, Horner syndrome, facial palsy, and brachial plexus injury have been scarcely referred in this context and, if not adequately interpreted, might suggest erroneous diagnoses with very different prognoses.

scholarly journals Strangulated Femoral Hernia Turned to Be Peritoneal Cyst

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Dionysios Dellaportas ◽  
George Polymeneas ◽  
Christina Dastamani ◽  
Evi Kairi-Vasilatou ◽  
Ioannis Papaconstantinou
Keyword(s):  
Femoral Hernia ◽  
Correct Diagnosis ◽  
Mesenteric Cyst ◽  
Inclusion Cyst ◽  
Case Presentation ◽  
Peritoneal Inclusion Cyst ◽  
Femoral Ring ◽  
Careful Exploration ◽  
The Right ◽  
Caucasian Female

Introduction. A peritoneal inclusion cyst is a very rare mesenteric cyst of mesothelial origin usually asymptomatic. A rare case of an 82-year-old white Caucasian female with a femoral hernia containing a large peritoneal inclusion cyst, mimicking strangulated hernia, is presented herein.Case Presentation. The patient was admitted to our hospital suffering from a palpable groin mass on the right, which became painful and caused great discomfort for the last hours. Physical examination revealed a tender and tense, irreducible groin mass. An inguinal operative approach was selected and the mass was found protruding through the femoral ring. After careful dissection it turned out to be a large unilocular cyst, containing serous fluid, probably originating from the peritoneum. McVay procedure was used to reapproximate the femoral ring. Histologic examination showed a peritoneal inclusion cyst.Discussion. Peritoneal inclusion cysts are usually asymptomatic but occasionally present with various, nonspecific symptoms according to their size. Our case highlights that high index of clinical suspicion and careful exploration during repair of a hernia is mandatory in order to reach the correct diagnosis about hernia’s contents.

De Garengeot’s Hernia; Acute Appendicitis In An Incarcerated Femoral Hernia

2015 ◽  
Vol 87 (7) ◽  
Author(s):  
Maciej Kokoszka ◽  
Jacek Wójtowicz
Keyword(s):  
Acute Appendicitis ◽  
Emergency Room ◽  
Female Patient ◽  
Femoral Hernia ◽  
Therapeutic Process ◽  
Diagnostic Difficulties ◽  
History Of ◽  
De Garengeot’S Hernia ◽  
Painful Mass ◽  
The Right

AbstractAcute appendicitis and incarcerated femoral hernia belong to relatively well known surgical diseases with regard to diagnostic workup and treatment. de Garengeot’s hernia is an entity involving concurrent occurrence of both the above mentioned problems.This paper presents history of a 58-year old female patient who was diagnosed with this extremely rare syndrome. She presented to the Emergency Room of a hospital in Żyrardów due to painful mass in the right groin region, persisting for approximately 24 hours.De Garengeot’s hernia, through combination of two separate surgical entities, is associated with diagnostic difficulties and the therapeutic process occasionally requires unconventional decisions to be taken to improve prognosis.

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 Lateral Supraorbital Craniotomy for Tuberculum Sella Meningioma Resection

2018 ◽  
Vol 79 (S 03) ◽  
pp. S263-S264
Author(s):  
Georgios Klironomos ◽  
Neal Mehan ◽  
Amir Dehdashti
Keyword(s):  
Visual Acuity ◽  
Minimally Invasive ◽  
Female Patient ◽  
Gross Total Resection ◽  
Total Resection ◽  
Case Presentation ◽  
Postoperative Mri ◽  
The Right ◽  
Tuberculum Sella ◽  
Supraorbital Craniotomy

AbstractTuberculum sella meningioma can be approached by either open or endoscopic approaches. The aim of this video case presentation is to highlight the nuances of the lateral supraorbital craniotomy for tuberculum sella meningioma resection. The authors present a 34-year-old female patient who presented with decreased right eye visual acuity (20/60), afferent pupillary defect, and nasal field cut due to a tuberculum sella meningioma. The tumor was partially encasing the left A1 artery, severely displacing the optic apparatus, and minimally invading the right optic canal. The lateral supraorbital craniotomy was considered the most suitable approach to this tumor. The operative nuances and pitfalls of this approach are detailed in the video. Gross total resection of the tumor was achieved and confirmed with postoperative MRI. The patient's vision gradually improved and she was discharged on the fourth postoperative day. The minimally invasive lateral supraorbital craniotomy for tuberculum sella meningioma is a suitable approach in selected cases.The link to the video can be found at: https://youtu.be/yG8q6YH2D9k.

scholarly journals A case of Bochdalek hernia with anomalous hepatic lobe heterotopia-case report

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Wajiha Khan ◽  
Adnan Safi ◽  
Asrar Ahmad ◽  
Mehwish Mooghal
Keyword(s):  
Case Report ◽  
Common Type ◽  
Diaphragmatic Defect ◽  
Bochdalek Hernia ◽  
Good Recovery ◽  
Liver Lobe ◽  
Case Presentation ◽  
Hepatic Lobe ◽  
The Right ◽  
Ladd’S Procedure

Abstract Background Bochdalek hernia is the most common type of congenital diaphragmatic hernia (CDH) resulting from postero-lateral diaphragmatic defect. Hepatic heterotopia is very rarely associated with CDH, and hepatic herniation favors the worst prognosis. Case presentation We present a case of a neonate diagnosed with right Bochdalek hernia (BH) with anomalous hepatic lobe heterotopia. Intra operatively, mal-rotated loops were also found to be herniating in the right hemithorax. The mal-rotated loops were reduced back into abdomen after performing Ladd’s procedure and diaphragmatic defect was repaired over the anomalous liver lobe. Baby was discharged on 7th postoperative day and follow-ups showed good recovery. Conclusion This case report discusses the presentation, classification, and significance of this association. Our case report is noteworthy as Bochdalek hernia is very rarely associated with anomalous hepatic lobe.

Epiploic Appendix of the Sigmoid Colon Incarcerated in the Right Femoral Hernial Sac

2018 ◽  
pp. 1-2
Keyword(s):  
Sigmoid Colon ◽  
Female Patient ◽  
Emergency Surgery ◽  
Femoral Hernia ◽  
Hernia Sac ◽  
Rare Finding ◽  
Female Patients ◽  
Hernial Sac ◽  
The Right

Femoral hernias are more common in female patients and are prone to incarceration. Incarceration of the colonic appendix epiploicae within the femoral hernia sac is a rare finding and is usually diagnosed during emergency surgery. This paper presents a case of an older female patient with incarcerated sigmoid colon appendix epiploicae within the femoral hernia sac.

scholarly journals Familial Acromegaly and Bilateral Asynchronous Pheochromocytomas in a Female Patient With a MAX Mutation: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Elizaveta Mamedova ◽  
Evgeny Vasilyev ◽  
Vasily Petrov ◽  
Svetlana Buryakina ◽  
Anatoly Tiulpakov ◽  
...  
Keyword(s):  
Adrenal Gland ◽  
Medical History ◽  
Female Patient ◽  
Clinical Presentation ◽  
Left Adrenal Gland ◽  
Case Presentation ◽  
Whole Exome ◽  
History Of ◽  
The Right ◽  
Insight Into

BackgroundThere are very few cases of co-occurring pituitary adenoma (PA) and pheochromocytomas (PCC)/paragangliomas caused by MAX mutations. No cases of familial PA in patients with MAX mutations have been described to date.Case PresentationWe describe a 38-year-old female patient, presenting with clinical and biochemical features of acromegaly and PCC of the left adrenal gland. Whole-exome sequencing was performed [NextSeq550 (Illumina, San Diego, CA, USA)] identifying a nonsense mutation in the MAX gene (NM_002382) [c.223C>T (p.R75X)]. The patient had a medical history of PCC of the right adrenal gland diagnosed aged 21 years and prolactinoma diagnosed aged 25 years. Cabergoline treatment was effective in achieving remission of prolactinoma at age 33 years. The patient’s father who died at age 56 years of a heart attack had a medical history of PA and prominent acromegalic features, which supports the familial presentation of the disease.ConclusionThis clinical case gives an insight into the clinical presentation of familial PA and PCC probably associated with a MAX mutation.

Vasculitis leucocitoclástica asociada a medicamentos

2019 ◽  
Vol 1 (1) ◽  
pp. 110-114
Author(s):  
Angélica María Hernández Fernández ◽  
José Antonio Flores Vargas
Keyword(s):  
Female Patient ◽  
Leukocytoclastic Vasculitis ◽  
Thrombocytopenic Purpura ◽  
Case Presentation ◽  
Small Vessels ◽  
Nuclear Dust

Introduction. Leukocytoclastic vasculitis (LV) is the presence of leukocytoclasis (fragmentation of the nuclei of neutrophils or "nuclear dust") in the wall of small vessels and around them. Case Presentation. A 37-yearold female patient with a diagnosis of thrombocytopenic purpura who starts treatment with ceftazidime and phenytoin, which causes LV. Conclusions. The case presented is associated with pharmacological etiology because the patient does not present a concomitant etiological condition.

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