Abstract
Femoral hernia is more common in women and lead to a higher rate of emergency surgery due to more chances of strangulation. Obstructed femoral hernia with ovary as content is an extremely rare condition1. A 54 year old woman presented with swelling in the right groin since 5 days, associated with pain since 1 day. On examination swelling is tender and firm in consistency. Preoperative ultrasound shown swelling in right inguinal area just below inguinal ligament near femoral triangle suggesting femoral hernia. After preoperative evaluation patient underwent emergency surgery and the diagnosis of obstructed femoral hernia with ovary as content was established. Ovary released from hernia sac, part of tissue taken for histopathology, which was confirmed that hernial content was metastaic poorly differentiated adenocarcinoma ovary (krukenberg tumour). Hernial defect was repaired with polypropylene. The Post operative period was uneventful and the woman was discharged with stable condition.
Key words: femoral hernia, obstruction, metastatic ovary.
References
- Townsend C, Beauchamp R, Evers B, Mattox K. Hernias, Sabiston Textbook of Surgery 18th Ed. Philadelphia: Saunders; 2008.
- Alzaraa A. Unusual contents of the femoral hernia. ISRN Obstet Gynecol 2011;717924.
- Andrews F. Hernia of the tube without the ovary. JAMA 1905; 25: 1625.
- Andrews F. Hernia of ovary and tube. JAMA 1906; 1907.
- Morf P. Hernia of fallopian tube with hernia of ovary. Ann Surg
- Parkes, C. Femoral hernia of fallopian tube without ovary. JAMA (1916) August 20, 649–50.
- Hachisuka, “Femoral hernia repair,” Surgical Clinics of North America, vol. 83, no. 5, pp. 1189–1205, 2003.
- A. Smolentsev, “Strangulation of a uterine tube in a femoral hernia,” Vestnik Khirurgii Imeni I.I.Grekova, vol. 110, no. 4, p. 136, 1973.
- H. Parkes, “Femoral hernia of fallopian tube without ovary,” e Journal of the American Medical Association, vol. 1910, no. 8, pp.649–650, 55.
- F. Devane, “Fallopian tube found in femoral hernia,” e Lancet, vol. 188, no. 4862, p. 805, 1916.
- Dahlstrand, S. Wollert, P. Nordin, G. Sandblom, and U. Gunnarsson, “Emerg-ency femoral hernia repair: a study based on a nationalregister,” Annals of Surgery, vol. 249, no. 4, pp. 672–676, 2009.
- B. McVay and L. E. Savage, “Etiology of femoral hernia,” Annals of Surgery, vol. 154, supplement 6, pp. 25–32, 1961.
Corresponding Author
Dr Munireddy.M.V
#1036/G, 1st Main, 2nd Cross, Geetnajali Layout, Hal 3rd Stage, New Tippasandra,
Bengaluru, Karnatak 560075
Contact Number: 9900499533, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.192
