Skalkos Elizabeth, Diab Jason, Berney Christophe
Department of General Surgery, St George Hospital, Sydney, Australia.
School of Medicine, University of Notre Dame, Sydney, Australia.
J Surg Case Rep. 2023 Mar 28;2023(3):rjad155. doi: 10.1093/jscr/rjad155. eCollection 2023 Mar.
Groin lumps in females can be challenging due to unique anatomy and vast differential diagnostic pathologies. We report the case of a 39-year-old female presenting with a six-month history of painful left groin lump. Laparoscopic total extraperitoneal (TEP) hernia repair showed an incarcerated left indirect inguinal hernia sac containing part of the left fallopian tube and fimbrial cyst, a left fat-containing obturator hernia and associated with ectopic subcutaneous inguinal endometrioma. The anatomical differences in women suggest that individualized preoperative imaging modalities such as magnetic resonance imaging have a place before considering laparoscopic hernia repair, to successfully identify and synchronously treat any concomitant pathologies.
由于独特的解剖结构和广泛的鉴别诊断病理学，女性腹股沟肿块的处理颇具挑战性。我们报告了一例39岁女性，有左侧腹股沟疼痛性肿块6个月的病史。腹腔镜完全腹膜外（TEP）疝修补术显示为嵌顿性左侧腹股沟斜疝囊，包含左侧输卵管部分及伞端囊肿、左侧含脂肪的闭孔疝，并伴有异位皮下腹股沟子宫内膜异位症。女性的解剖差异表明，在考虑腹腔镜疝修补术前，诸如磁共振成像等个体化的术前成像方式有助于成功识别并同步治疗任何伴随的病变。
