Department of Surgery, Fujita Health University, Toyoake, Japan.
Department of Advanced Robotic and Endoscopic Surgery, Fujita Health University, Toyoake, Japan.
Asian J Endosc Surg. 2024 Jul;17(3):e13326. doi: 10.1111/ases.13326.
Concurrent direct and indirect inguinal, femoral, and obturator hernias are rare. This case report describes a rare case treated using the laparoscopic approach. A 68-year-old female patient presented with a moving left inguinal lump and pain. Physical examination and abdominal computed tomography scan revealed the coexistence of a left inguinal hernia or Nuck canal hydrocele and a left femoral hernia. The patient underwent laparoscopic transabdominal preperitoneal repair, and all four orifices were covered with one mesh. The patient was discharged on the second postoperative day without any complications. The concurrent presence of four hernias on the same side is rare and has not been previously reported. The laparoscopic approach is useful in such cases because it allows visualization of multiple hernia orifices from the intra-abdominal cavity.
同时存在直接和间接腹股沟、股疝和闭孔疝较为罕见。本病例报告介绍了一例采用腹腔镜方法治疗的罕见病例。一名 68 岁女性患者因左侧腹股沟可移动性肿块伴疼痛就诊。体格检查和腹部计算机断层扫描显示左侧腹股沟疝或努克管鞘膜积液和左侧股疝同时存在。患者接受了腹腔镜经腹腹膜前修补术，用一块网片覆盖了所有四个疝口。患者术后第 2 天无任何并发症出院。同一侧同时存在四个疝较为罕见，既往尚未报道。在这种情况下，腹腔镜方法很有用，因为它可以从腹腔内观察到多个疝口。
