Femoral hernia in childhood: evaluation of sonography as a diagnostic aid

Büchin, P.; Steinau, G.; Ophoff, K.; Dreuw, B.; Truong, S.; Schumpelick, Volker

doi:10.1007/bf01576735

Cited by 6 publications

(1 citation statement)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is bounded laterally by the femoral vein, anteriorly by the inguinal ligament, medially by the lacunar ligament, and posteriorly by the pectineal ligament. [ 2 ] The common contents of the femoral hernia sac are preperitoneal fat, omentum, and small intestine, but exceptionally, a case report written more than a century ago mentioned the presence of transverse colon and cecum within a huge sac [ 3 ]. The contents of the sac are rarely found to be appendix (De Garengeot’s hernia), bladder, Meckle’s diverticulum, ectopic testis, stomach and fallopian tube, cecum, sigmoid, ovary, uterus, gallbladder, kidney, stomach, and liver [ 4–6 ].…”

Section: Introductionmentioning

confidence: 99%

Transverse colon and omental incarceration in femoral hernia: a case report

Bayissa,

Borena

2023

Journal of Surgical Case Reports

View full text Add to dashboard Cite

A femoral hernia is one of the groin hernias with a high chance of incarceration and strangulation due to its narrow neck. Here, we report a case of transverse colon incarceration. A 65-year-old female patient presented with groin mass that failed to reduce and a dragging pain. Elective open femoral herniorrhaphy was done with the finding of viable incarcerated massive momentum along with transverse colon. Femoral hernias have a female-to-male ratio of about 10:1. Postmenopausal, increasing age, and constipation were some of the risk factors identified in our patient. Various types of organs can be found in the femoral hernia sac but one of the rarely reported organ was found in our case: a transverse colon. Femoral hernia with a large bulky soft mass can get incarcerated easily but relatively less prone to strangulation.

show abstract

Section: Introductionmentioning

confidence: 99%

Transverse colon and omental incarceration in femoral hernia: a case report

Bayissa,

Borena

2023

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

Femoral hernia: a review of 83 cases

Ali̇moğlu

Kaya

Okan

et al. 2005

Hernia

View full text Add to dashboard Cite

We evaluate the factors that affect morbidity and mortality in patients who underwent surgery due to femoral hernia. The medical records of 83 patients who underwent femoral hernia repair between January 1996 and June 2004 were retrospectively analyzed. The femoral hernias were repaired either with McVay or mesh plug hernioplasty. Sex, age, surgical repair technique, presence of incarceration/strangulation, incarcerated/strangulated organs, postoperative complications, duration of hospitalization, recurrence rate, and factors that affect mortality and morbidity were studied. There were 83 patients with femoral hernia in our study. Patients' age ranged from 10 to 75 years (mean age was 46.84) with a predominance of female (71%). Thirty-six patients (40%) underwent emergency surgery with the diagnosis of strangulation or incarceration of femoral hernia. Seventeen patients had strangulation and underwent resection; eleven of these patients had omentum in the hernial sac, whereas six patients had intestines. Four of these patients underwent laparotomy. The remaining 19 patients had incarceration and underwent simple reduction of hernial sac content without resection. Forty-seven (60%) patients underwent elective surgery. McVay technique was used for 79 patients, while the other four patients were treated with mesh-plug. Twelve patients (15%) developed a variety of complications (nine patients (25%) in emergency, three patients (6%) in elective group). There was one mortality. Recurrences occurred in two patients. Femoral hernia is an important surgical pathology with high rates of incarceration/strangulation and intestinal resection. Emergency surgery can increase morbidity and mortality especially in the elderly. Early elective surgery may reduce complication.

show abstract