Cases reported "Hernia, Femoral"

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1/59. 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. ( info)

2/59. CT diagnosis of acute appendicitis in a femoral hernia.

    We present the first case, to our knowledge, of a patient with a CT diagnosis of acute appendicitis strangulated in a femoral hernia, a known but very rare entity. CT features of acute appendicitis within the hernia established the correct diagnosis. The pathological findings confirmed the diagnosis of this rare location of appendicitis. ( info)

3/59. 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. ( info)

4/59. 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. ( info)

5/59. 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. ( info)

6/59. Acute appendicitis in a femoral hernia: an unusual presentation of a groin mass.

    Although most groin masses are simple hernias, occasionally these hernias contain more than just small intestine. Femoral hernias, which are less common than inguinal, are more often found in females. stomach, omentum, colon, or an appendix each has been reported to be contained in a femoral hernia. Having an acutely inflamed appendix contained in a femoral hernia sac in a male is extraordinarily rare. We report a case of acute appendicitis contained in a femoral hernia of a 76 year old man. This entity presents much like an incarcerated hernia, and differentiating the two can lead to changes in the surgical management. ( info)

7/59. 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. ( info)

8/59. Gangrenous Richter's hernia with intrasac abscess.

    A 43 year old female was admitted with features of intestinal obstruction. On laparotomy, a strangulated Richter's hernia with an abscess within an incisional hernial sac through a previous lower segment caesarean section scar was diagnosed. Resection and anastomosis was performed. Strangulated Richter's hernia is a rare entity making up 8.3% of all strangulated hernias. There have been reports of Richter's hernia with strangulation in inguinal hernia, femoral hernia and port hernia after laparoscopic surgery but none so far in an incisional hernia. ( info)

9/59. 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. ( info)

10/59. An unusual complication of laparoscopic cholecystectomy.

    An unusual series of complications of laparoscopic cholecystectomy is presented. The complications occurred after use of laparoscopic technique in the treatment of acute cholecystitis. The authors feel that this is a problem that points up the need for experience and caution in the use of laparoscopic cholecystectomy in the setting of acute cholecystitis. ( info)
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