van den Heuvel B, Munoz Brands R M, Beuerle E Y, Dwars B J
General Surgery, Slotervaartziekenhuis, Louwesweg 6, 1066 EC, Amsterdam, The Netherlands,
Hernia. 2015 Jun;19(3):523-6. doi: 10.1007/s10029-013-1149-9. Epub 2013 Aug 9.
A 61-year-old woman presented with pain in the left groin. The pain radiated from the groin to the knee. At physical examination, a non-reducible swelling was found lateral to the femoral vessels. A CT-scan showed herniation of fatty tissue through the lacuna musculorum. A laparoscopic repair was carried out. A large adipose structure was found herniating through the lacuna musculorum and originating from the Bogros area. It ran along the iliopsoas muscle, suppressing the femoral cutaneous nerve. The tissue was reduced and excised, and a polypropylene mesh was placed to cover the defect. Inguinal hernias are categorized as medial, lateral or femoral hernias. We describe a case in which a hernia through the lacuna musculorum was found, which is very rare and referred to as a Hesselbach's hernia.
一名61岁女性因左腹股沟疼痛就诊。疼痛从腹股沟放射至膝盖。体格检查时，在股血管外侧发现一个不可回纳的肿块。CT扫描显示脂肪组织通过肌腔隙疝出。进行了腹腔镜修补术。发现一个大的脂肪结构通过肌腔隙疝出，起源于Bogros间隙。它沿着髂腰肌走行，压迫股外侧皮神经。将该组织回纳并切除，放置聚丙烯补片覆盖缺损。腹股沟疝分为内侧、外侧或股疝。我们描述了一例通过肌腔隙的疝，这种情况非常罕见，称为海氏疝。
