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

Abstract

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.

Keywords: Incarcerated hernia; acute abdomen; femoral hernia; intestinal obstruction.

Figure 1

Femoral hernia in a 65-year-old female patient (arrow showing a bulky mass inferior to inguinal ligament with a normal overlying skin).

Figure 2

The content of the sac along with its contents (green open arrow shows viable omentum, black solid arrow shows transverse colon, and solid blue arrow shows an inguinal ligament).