Laparoscopic identification of combined pediatric femoral hernia and ruptured abdominal cyst of the canal of Nuck: A report of an extremely rare case.

Autor: Fukahori S; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan., Sakamoto S; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan., Hashizume N; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan., Masui D; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan., Higasidate N; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan., Tsuruhisa S; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan., Nakahara H; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan., Koga Y; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan., Saikusa N; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan., Ishii S; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan., Tanaka Y; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan.; Division of Medical Safety Management, Kurume University School of Medicine, Kurume, Japan., Yagi M; Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan.
Jazyk: angličtina
Zdroj: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2021 Jul; Vol. 14 (3), pp. 557-560. Date of Electronic Publication: 2020 Sep 13.
DOI: 10.1111/ases.12866
Abstrakt: A 7-year-old girl was referred to our hospital with a suspected right-sided indirect inguinal hernia. An egg-sized elastic, non-painful mass was palpated in the right inguinal region. Preoperative CT demonstrated a 30-mm simple cystic mass in the right internal inguinal canal, which we diagnosed as an abdominal cyst of the canal of Nuck. Laparoscopy revealed that the abdominal cystic component was ruptured, so we performed Pott's procedure. However, the patient's right groin swelled on postoperative day 3, necessitating re-operation. The patient's symptoms recurred again after 3 months, despite having had two surgical repairs. In the third operation, a right-sided femoral hernia was confirmed and repaired via external and laparoscopic approaches. To the best of our knowledge, there have been no reports on the combination of femoral hernia and cyst of the canal of Nuck in children. A laparoscopic approach was useful for obtaining a definitive diagnosis and conducting a safe and secure surgical repair.
(© 2020 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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