Viveiros Duarte, Lázaro André, Carvalho Hélder
General Surgery Department, Coimbra Hospital and University Center, Coimbra, Portugal.
Coimbra University, Medicine Faculty, Coimbra, Portugal.
Rev Bras Ginecol Obstet. 2019 Aug;41(8):520-522. doi: 10.1055/s-0039-1693055. Epub 2019 Aug 26.
Femoral hernias comprise a small proportion of all groin hernias. They are more common in women and have a high rate of incarceration and strangulation, leading to emergency repair. A 61-year-old female patient was admitted to the emergency department complaining of a 2-day painful lump in the right groin, that had become more intense in the last 24 hours. Physical examination suggested the presence of a strangulated femoral hernia, and the patient underwent emergency surgical repair. Intraoperatively, the right fallopian tube was observed in the hernia sac. Since there were no signs of ischemia, the tube was reduced back into the pelvic cavity and the hernia was repaired. The postoperative period was uneventful, and the patient was discharged without complications, 3 days after surgery.
股疝在所有腹股沟疝中占比很小。它们在女性中更为常见,且嵌顿和绞窄发生率高,常需急诊修补。一名61岁女性患者因右侧腹股沟区疼痛性肿块2天入院,在过去24小时内疼痛加剧。体格检查提示为绞窄性股疝,患者接受了急诊手术修补。术中发现疝囊内有右侧输卵管。由于未见缺血征象,将输卵管还纳回盆腔并修补了疝。术后恢复顺利,患者术后3天无并发症出院。