Recurrent femoral hernia and associated ovarian pathology

Abstract

The following case describes an ovarian tumour presenting in a highly unusual manner-in the form of a recurrent femoral hernia. Recurrent femoral herniae are unusual and should prompt awareness of underlying pathology causing increased intra-abdominal pressure.

Figure 1

Axial image at the level of the pubic symphysis from a CT study of the abdomen and pelvis performed with oral and IV contrast which demonstrates a superficial right-sided hernia sac medial to the right femoral vessels containing non-dilated small bowel loops.

Figure 2

Axial image at a more cranial level from the same CT study showing circumscribed relatively hyperdense right adnexal mass lesion.

Figure 3

Image from a sagittal T2-weighted sequence through the right side of the pelvis demonstrating the profoundly hypointense (consistent with the typically very low signal intensity seen on T2-weighted images) solid component of the right adnexal lesion and associated loculated profoundly hyperintense material in the right adnexal lesion consistent with fluid.