A rare case of femoral herniation of female internal genitalia

Ambedkar, Vivek; Singh, Amrit; Bain, Jayanta; Singh, Lal Mani

doi:10.4103/0976-9668.160038

Cited by 5 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Rare contents of incarcerated or irreducible femoral hernias reported in the literature include the appendix, bladder, Meckel’s diverticulum, ectopic testis, stomach, and gynecological organs [ 4 ]. In terms of incarcerated femoral hernia containing gynecological organs such as the ovary, uterus, or fallopian tube, 11 cases have been reported in adults (Table 1 ) [ 5 – 14 ]. Of these cases, the ovary alone was present in two cases and the fallopian tube alone in six cases.…”

Section: Case Presentationmentioning

confidence: 99%

Laparoscopic repair of irreducible femoral hernia containing the fallopian tube alone: a case report

et al. 2016

View full text Add to dashboard Cite

BackgroundWe offer the first report of laparoscopic repair of an irreducible femoral hernia containing the fallopian tube alone.Case presentationAn 84-year-old woman presented with a 2-week history of a right groin mass with no abdominal symptoms. The mass was located below the inguinal ligament but showed no redness or tenderness. Abdominal computed tomography demonstrated a 4 × 3-cm cystic mass and enhanced cord-like structure in the right groin area. Hernia contents were considered potentially associated with the appendix, and right femoral hernia incarceration was diagnosed. We performed emergency surgery using a laparoscopic approach, revealing an irreducible femoral hernia containing the right fallopian tube, which was reduced laparoscopically. The reduced fallopian tube showed no ischemic changes, obviating the need for resection. No other abdominal organs such as the ovary, fimbriae of the fallopian tube, or appendix were incarcerated. We repaired the femoral hernia laparoscopically using a transabdominal preperitoneal approach with a mesh.ConclusionsA laparoscopic approach offers ready and accurate confirmation of incarcerated or irreducible organs, rapid recovery, and favorable cosmesis and should therefore be considered for the treatment of incarcerated or irreducible femoral hernia.

show abstract

Section: Case Presentationmentioning

confidence: 99%

Laparoscopic repair of irreducible femoral hernia containing the fallopian tube alone: a case report

et al. 2016

View full text Add to dashboard Cite

show abstract

“…[16] Investigations focusing on female FH repair, in particular, have only been documented in case reports. [15,17,18] In this article, we present our experience in FH repair in 41 female patients with the UHS procedure or the TAPP operation. Specifically, we investigated determining factors for procedure selection, compared perioperative parameters and post-operative complications between these 2 methods.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic transabdominal preperitoneal technique versus open surgery with the ULTRAPRO Hernia System for the repair of female primary femoral hernias—an observational retrospective study

Chen

Su²,

Wang³

et al. 2018

Medicine

View full text Add to dashboard Cite

Femoral hernias (FHs), predominantly seen in females, require surgery for cure. To date, surgical repair of primary FHs in female patients with either open surgery or laparoscopic operation has been poorly documented. We retrospectively investigated the treatment of female primary FHs with open surgery using the ULTRAPRO Hernia System (UHS procedure) or the laparoscopic procedure, namely, the transabdominal preperitoneal (TAPP) technique. A total of 41 female patients with primary FHs who had undergone UHS or TAPP were included in this study. The procedural parameters, post-surgical complications, treatment expense, and follow-up results were analyzed. The vast majority of patients (39/41) underwent elective operations: 15 received UHS (including 2 emergency cases) and 26 had TAPP (P = .08). The UHS group had a greater average age, due to the fact that FHs occur often in people with advanced age who tend to have systemic disease, limiting the use of general anesthesia required for TAPP. Compared with UHS, TAPP took a significantly shorter time to complete and patients undergoing TAPP had a dramatically shorter hospital stay. While no recurrence was observed in both groups, post-procedure pain and foreign body sensation were reported by significantly more patients in UHS group. The cost was greater with TAPP. Taken together, we concluded that both UHS and TAPP are effective in the management of female FHs. In view of the advantages and disadvantages between the open and the laparoscopic operation, surgeons can select a procedure according to their skills and patients’ situation.

show abstract

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

Marcos-Santos

Bailon-Cuadrado

Choolani-Bhojwani

et al. 2019

annals

View full text Add to dashboard Cite

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.

show abstract

A rare case of femoral herniation of female internal genitalia

Cited by 5 publications

References 6 publications

Laparoscopic repair of irreducible femoral hernia containing the fallopian tube alone: a case report

Laparoscopic repair of irreducible femoral hernia containing the fallopian tube alone: a case report

Laparoscopic transabdominal preperitoneal technique versus open surgery with the ULTRAPRO Hernia System for the repair of female primary femoral hernias—an observational retrospective study

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

Contact Info

Product

Resources

About