Ismaili Granit, Vaughan Michael, Abdelhafiz Tarig Ahmed
Department of General Surgery, Sligo General Hospital, The Mall, Rathquarter, Sligo F91 H684, Republic of Ireland.
J Surg Case Rep. 2024 Nov 17;2024(11):rjae718. doi: 10.1093/jscr/rjae718. eCollection 2024 Nov.
Femoral hernias are at a high risk of strangulation due to their narrow necks. They are an exceptionally rare occurrence in males. In many cases, differentiation between a femoral and inguinal hernia is difficult. We present the case of a bilateral strangulated femoral hernia in a 70-year-old male. To our knowledge, there has been only one previously published report of such a case in males. Our patient presented with generalized abdominal pain and bilateral irreducible groin swellings, originally thought to be bilateral strangulated inguinal hernia. Upon initial inguinal incision, a diagnosis of a strangulated femoral hernia was made. A modified lower midline laparotomy incision was made to gain access to and diagnose both femoral hernias and allow for bowel resection and abdominal washout. Our case highlights the importance of modifying the surgical approach when encountering with a different diagnosis intraoperatively.
股疝因其颈部狭窄而发生绞窄的风险很高。在男性中极为罕见。在许多情况下，区分股疝和腹股沟疝很困难。我们报告一例70岁男性双侧绞窄性股疝病例。据我们所知，此前仅有一篇关于男性此类病例的报道。我们的患者表现为全腹疼痛和双侧不可复性腹股沟肿胀，最初被认为是双侧绞窄性腹股沟疝。在最初的腹股沟切口后，诊断为绞窄性股疝。做了改良的下腹部正中剖腹切口，以显露和诊断双侧股疝，并进行肠切除和腹腔冲洗。我们的病例强调了术中遇到不同诊断时调整手术方法的重要性。
