Femorocele: A rare clinical entity - A case report.

Autor: Halabi M; The Department of Surgery, American Hospital in Dubai, United Arab Emirates; School of Medicine, Royal College of Surgeons Ireland - Bahrain, Kingdom of Bahrain., Alomar A; School of Medicine, Royal College of Surgeons Ireland - Bahrain, Kingdom of Bahrain., Alrujaib A; School of Medicine, Royal College of Surgeons Ireland - Bahrain, Kingdom of Bahrain., Hamza M; The Department of Radiology, American Hospital Dubai, United Arab Emirates., Moussa H; The Department of Surgery, American Hospital in Dubai, United Arab Emirates. Electronic address: hmoussa@ahdubai.com.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2023 May; Vol. 106, pp. 108123. Date of Electronic Publication: 2023 Apr 07.
DOI: 10.1016/j.ijscr.2023.108123
Abstrakt: Introduction and Importance: A femoral hernia is a protrusion of the peritoneum through a defect in the femoral ring into the femoral canal. A rare form of a femoral hernia is a femorocele, which requires a highly skilled physician for accurate diagnosis and management. Clinical examination is the gold standard for diagnosis, with a CT used to confirm clinical suspicion. Once diagnosed, the only curative option is surgery. This case report provides evidence for the use of robotics to treat a femorocele.
Case Presentation: A 23-year-old female with a two-year history of a non-reducible fluid-filled swelling in the right groin presented to the surgical clinic. Upon clinical suspicion and CT imaging, a femorocele was diagnosed. The surgeon opted for a femoral hernia repair using the da Vinci surgical system. Peritoneal connection with the hernia sac was noted, confirming the diagnosis. The content of the cystic mass was reduced; further to that, the omental content was also reduced and the hernia was repaired. The patient tolerated the procedure with no complications.
Clinical Discussion: This case highlights the use of robotics to treat a rare clinical entity. Robotics was used for this case as it provided exceptional ergonomics, three-dimensional visualization, and wristed movements.
Conclusion: A femorocele is a rare form of a femoral hernia that requires accurate diagnosis and proper management. In this case, we demonstrated the possibility of using robotics as a viable option for treatment of a femorocele.
Competing Interests: Declaration of competing interest HM is a proctor for Intuitive Surgical and CMR surgical. MH, AA, AR, and MH have no competing interests to declare.
(Copyright © 2023. Published by Elsevier Ltd.)
Databáze: MEDLINE