Prevascular femoral hernia and its relation with inferior epigastric vessels: a rare presentation of the femoral hernia sac
Autor: | Ayman Hamade, Mansoor Akhtar, Yih Chyn Phan, Mohamed Boshnaq |
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Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment 030230 surgery 03 medical and health sciences 0302 clinical medicine medicine Humans Femur Herniorrhaphy Reduction (orthopedic surgery) Groin business.industry Dissection General Medicine Middle Aged Femoral hernia medicine.disease Epigastric Arteries Hernia Femoral Surgery medicine.anatomical_structure Femoral triangle 030220 oncology & carcinogenesis Radiology Erratum Presentation (obstetrics) Inferior epigastric vessels business |
Zdroj: | BMJ Case Reports. :bcr2016214832 |
ISSN: | 1757-790X |
DOI: | 10.1136/bcr-2016-214832 |
Popis: | A 61-year-old man presented to the emergency department, with a 2-week history of a painful lump on his right groin. A diagnosis of an irreducible right femoral hernia was made. As such, an urgent operation was carried out on the same day, and the patient was found to have a rare prevascular femoral hernia in which the sac was lying over the femoral vessels and split by the inferior epigastric vessels into 2 components resembling 2 trouser limbs. The hernia sac presented in a different and challenging way that necessitated meticulous dissection and full orientation of the anatomy of the femoral triangle. Complete dissection and control of the inferior epigastric vessels, and complete reduction of the sac followed by repair with a prosthetic mesh plug were performed successfully. The patient was discharged home the next day. |
Databáze: | OpenAIRE |
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