Hassine Hiba Ben, Ouertani Ferdaoues, Boughanmi Faiez, Touati Midani, Korbi Ibtissem, Noomen Faouzi
Department of Visceral Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Department of Visceral Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Int J Surg Case Rep. 2025 Mar;128:111079. doi: 10.1016/j.ijscr.2025.111079. Epub 2025 Feb 24.
Femoral hernias, though less common than inguinal hernias, have a higher propensity for incarceration and strangulation, often leading to significant morbidity and mortality. They are more prevalent in women, and their clinical diagnosis remains challenging.
This case report describes a 35-year-old woman presenting with an incarcerated right femoral hernia containing the ipsilateral fallopian tube alone, without the ovary. Emergency surgery revealed the fallopian tube within the hernia sac without ischemic changes, and repair was successfully performed using the McVay operation.
Femoral hernias are rare but prone to complications like incarceration and strangulation. Isolated fallopian tube incarceration without ovarian involvement is extremely uncommon and challenging to diagnose, often requiring imaging for confirmation. Early surgical intervention, such as the McVay operation, is essential to prevent morbidity and ensure favorable outcomes.
This case highlights the importance of early diagnosis and appropriate surgical intervention in managing rare presentations of femoral hernias to prevent complications.
股疝虽比腹股沟疝少见，但发生嵌顿和绞窄的倾向更高，常导致严重的发病率和死亡率。股疝在女性中更为常见，其临床诊断仍然具有挑战性。
本病例报告描述了一名35岁女性，患有嵌顿性右侧股疝，疝内容物仅为同侧输卵管，无卵巢。急诊手术发现疝囊内的输卵管无缺血改变，采用麦克维手术成功完成修复。
股疝罕见但易发生嵌顿和绞窄等并发症。孤立的输卵管嵌顿而无卵巢受累极为罕见，诊断具有挑战性，通常需要影像学检查来确诊。早期手术干预，如麦克维手术，对于预防发病和确保良好预后至关重要。
本病例强调了在处理股疝罕见表现时早期诊断和适当手术干预以预防并发症的重要性。
