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Case Reports
. 2010:2010:741915.
doi: 10.1155/2010/741915. Epub 2010 Oct 17.

Incarcerated femoral hernia containing ipsilateral fallopian tube

Affiliations
Case Reports

Incarcerated femoral hernia containing ipsilateral fallopian tube

Stefanos Atmatzidis et al. Case Rep Med. 2010.

Abstract

Femoral hernias are more common in women and lead to a substantial higher rate for an emergency operation, due to strangulation. Incarcerated femoral hernia with fallopian tube as a content is an extremely rare condition. A 20-year-old woman presented to the emergency department complaining of a 6-day right groin swelling, which became painful and tender to palpation during the last 48 hours. Preoperative ultrasonography detected an oedematous hernia sac, above the femoral vessels, suggesting the presence of an incarcerated femoral hernia. The patient eventually underwent emergency surgery and the diagnosis of a strangulated femoral hernia sac, containing fallopian tube, was established. No resection of the uterine tube was performed and the hernia was repaired with polypropylene plug. The postoperative period was uneventful and the woman was discharged on the second postoperative day.

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Figures

Figure 1
Figure 1
Ultrasonography showing the oedematous hernia sac, above the femoral vessels.
Figure 2
Figure 2
The open femoral hernia sac with its uncommon content, the ipsilateral fallopian tube.
Figure 3
Figure 3
The uterine tube with its mesosalpinx, while the right ovary lies within the abdominal cavity.

References

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