Femoral hernia containing strangulated ileum along with the uterus and both ovaries: a first case report

Ay, Ahmet; Kaptanoğlu, Buğra; Özer, Sema; Akalın, Çağrı

doi:10.1007/s10029-010-0758-9

Cited by 10 publications

(4 citation statements)

References 4 publications

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“…There have been case reports of hernia sac containing more than one structure such as combined appendix and Meckel's diverticulum, or jejunum and uterus with ovaries. 9,10 To our knowledge however, this is the first case report of a combined de Garengeot's and Richter's hernia, illustrated in Fig. 2 .…”

Section: Discussionmentioning

confidence: 68%

A combined Richter's and de Garengeot's hernia

Odom

Hsu

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONde Garengeot's hernia is very rare. Richter's hernia is responsible for 10% of acute strangulated hernias.PRESENTATION OF CASEA 91-year-old woman with three days of abdominal distention was found on computed tomogram to have an incarcerated femoral hernia. Operation revealed a de Garengeot's hernia combined with a Richter's hernia of small bowel. Primary repair was performed along with appendectomy.DISCUSSIONWe discuss these rare hernias, not previously reported in combination, and options for management.CONCLUSIONCombined de Garengeot's and Richter's hernias are rare, represent a significant diagnostic challenge, and should be repaired urgently to prevent ischemic bowel, or limit contamination if ischemia is already present. Use of computed tomography will likely lead to increased pre-operative diagnosis of this rare entity.

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Section: Discussionmentioning

confidence: 68%

A combined Richter's and de Garengeot's hernia

Odom

Hsu

et al. 2014

International Journal of Surgery Case Reports

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“…The laparotomy incision can then be safely closed after having explored every inch of the intestine. An added laparotomy approach may also be useful in those femoral hernias which contain a variety of rare abdominal contents such a caecum, ascending colon, Meckel's diverticulum, ovary, fallopian tube and a bladder diverticulum [8][9][10][11][12]. Difficult situations may arise when any part of the colon gets trapped in the incarceration [11].…”

Section: Discussionmentioning

confidence: 99%

Strangulated Femoral Hernia: A Challenging Surgical Vignette —Case Report and Review of Literature

Vagholkar¹

2014

IJCM

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External hernia is one of the commonest causes of intestinal obstruction. Femoral hernia is a relatively uncommon hernia. It has a very high complication rate due to delayed diagnosis caused by deceptive symptomatology and subtle signs. CT scan enables a prompt diagnosis. Rigorous resuscitation followed by prompt surgical intervention is the mainstay of treatment. A case of a strangulated femoral hernia in a patient with complicated co morbid medical disorders is presented to highlight the pitfalls in initial clinical assessment.

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“…By comparison, there are only a relatively small number of reports in the world literature of femoral hernias containing ovary contents dating back to 1892. In a detailed search of the world literature, 15 cases of incarcerated femoral hernia containing fallopian tube were identified, of which six cases also contained ovary and three occurred in children 5 6 8–14…”

Section: Discussionmentioning

confidence: 99%