1/50. Ganglion of the hip joint--we present a logical approach to the exploration of a mass in the femoral triangle.hip joint ganglion is a rare cause of a mass in the femoral triangle. Our patient presented with a swelling in the groin and a history of femoral hernia repair 5 years previously. Pre-operative assessment with ultrasound suggested a possible femoral artery aneurysm. We propose that safe exploration of a mass closely related to the femoral vessels must include vascular control.- - - - - - - - - - ranking = 1keywords = de (Clic here for more details about this article) |
2/50. Pre-vascular hernia: a rare cause of chronic obscure groin pain after inguinal hernia repair.A rare case of pre-vascular hernia is reported in a woman complaining of chronic obscure groin pain following an inguinal hernia repair. The condition was only diagnosed by means of a herniogram, emphasising the value of this investigation in unexplained groin pain. The hernia was successfully repaired using a polypropylene mesh plug, a simple technique widely employed in both femoral and recurrent inguinal hernia, but never before described in pre-vascular hernia.- - - - - - - - - - ranking = 2keywords = de (Clic here for more details about this article) |
3/50. Chicken bone herina: an unusual presentation of a Richter's hernia.An unusual case of a perforated Richter's hernia in which is presented with abscess cavity contained a chicken bone. Richter's gernia is difficult to diagnose before strangulation occurs. The surgeon must be prepared to follow small bowel resection with a second operation for definitive repair of the hernia.- - - - - - - - - - ranking = 1keywords = de (Clic here for more details about this article) |
4/50. Repair of concomitant inguinal and femoral hernias under local anaesthesia.We describe the case of a 91-year-old patient with small bowel obstruction due to an obstructed groin hernia. It was decided to repair the hernia under local anaesthesia and sedation because of the patient's age and medical condition. At surgery, concomitant inguinal and femoral hernias were found and repaired. We discuss the technique of repairing groin hernias under local anaesthesia, especially in the elderly, and the previously reported incidence of concomitant hernias.- - - - - - - - - - ranking = 11keywords = de (Clic here for more details about this article) |
5/50. Accidental small bowel perforation after antegrade femoral artery access for percutaneous thromboembolectomy and angioplasty.PURPOSE: To report a rare complication of antegrade femoral access for percutaneous aspiration thromboembolectomy and transluminal angioplasty. CASE REPORT: A 73-year-old obese woman underwent antegrade femoral aspiration thromboembolectomy for lower limb arterial embolism. Fifteen hours later, she presented with acute abdomen and decreased hemoglobin. Computed tomography showed small bowel obstruction, incarcerated femoral hernia, and free peritoneal air and fluid suggesting bowel perforation. Emergent laparotomy revealed an incarcerated, perforated femoral bowel loop and 4-quadrant peritonitis. CONCLUSIONS: Femoral hernia injury is an exceptional complication of vascular interventions. knowledge of this potential hazard may help to avoid its occurrence.- - - - - - - - - - ranking = 12keywords = de (Clic here for more details about this article) |
6/50. A case of femoral hernia in a child.A 9-year-old boy with a painless reducible swelling in the right groin was admitted to our hospital. The diagnosis of a right external inguinal hernia was made, but no inguinal hernial sac was found at operation. On further examination, the diagnosis of femoral hernia was confirmed. Radical operation for the femoral hernia was performed using McVay's procedure, and there has been no recurrence since the operation. In the Japanese literature, 25 cases of femoral hernias have been reported in children aged 1 month-9 year (average age, 4 years). The sex ratio of M:F was 2:3. Eleven cases were on the right side, 7 were on the left, and 5 were bilateral. The rate of irreducible femoral hernia was 48% (12/25 cases). Femoral hernias in children are very rare and often misdiagnosed as inguinal hernias. Correct diagnosis was made in only three cases (12%). Careful examination and awareness of the possibility of femoral hernia in children are very important when dealing with groin swelling in children.- - - - - - - - - - ranking = 4keywords = de (Clic here for more details about this article) |
7/50. appendicitis in incarcerated femoral hernia.BACKGROUND: Femoral hernia can rarely present with the content of appendicitis. We report on an elderly female who was admitted to our emergency department with a painful groin mass. methods: An 85-year-old woman presented with a 7-day history of right groin pain and swelling. She also had complaints of nausea, vomiting, and right lower quadrant abdominal pain. physical examination revealed a right groin mass in the femoral region, which was painful on examination. Abdominal examination ended with normal findings except bilateral lower quadrant tenderness. Ultrasonographic examination revealed a hernia sac containing suspected aperistaltic bowel segment with edematous wall. RESULTS: The patient underwent surgery. During exploration of the right groin region, a strangulated femoral hernia sac containing appendicitis was detected. CONCLUSION: Surgeons should be aware of the existence of this kind of atypical presentation of appendicitis.- - - - - - - - - - ranking = 7keywords = de (Clic here for more details about this article) |
8/50. Primary peritoneal adenocarcinoma detected within a femoral hernia sac.We report on a case of primary peritoneal adenocarcinoma diagnosed after histological examination of a femoral hernia sac. To the best of our knowledge, this is the first reported case of primary peritoneal adenocarcinoma detected incidentally during repair of a femoral hernia.- - - - - - - - - - ranking = 12keywords = de (Clic here for more details about this article) |
9/50. A case of incarcerated femoral hernia in an infant.The authors describe the case of an incarcerated femoral hernia in an infant. A 4-month-old female infant was hospitalized with an incarcerated right groin hernia. Attempts to reduce the mass were unsuccessful, so an emergency surgery was performed. During surgery, the hernial sac seemed to protrude under the inguinal ligament. The authors opened the hernial sac and observed a dark red small intestine. The authors did not resect the intestine because its color gradually improved after the constriction was released. The hernial sac passed under the inguinal ligament, and the infant was diagnosed with incarcerated femoral hernia.- - - - - - - - - - ranking = 4keywords = de (Clic here for more details about this article) |
10/50. Acute appendicitis within a femoral hernia: multidetector CT findings.We present a case of surgically proved acute appendicitis strangulated in a femoral hernia sac. multidetector computed tomography with multiplanar reformations was thought to be helpful in evaluating acute appendicitis in a femoral hernia sac. An awareness of computed tomographic findings may avoid a delay in recognition and management of a patient with this unusual condition.- - - - - - - - - - ranking = 6keywords = de (Clic here for more details about this article) |
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