Femoral Hernia Complications: Unusual Contents

Abstract

Different contents in the femoral hernia have been reported in the literature, but herniation of the fallopian tube in a femoral hernia is very rare due to its normal anatomical position. CASE Report: A 58 year-old woman, mother of 5 children, she has admitted to surgical ward with a painful lump in the right groin. It had recently increased in size. Clinical examination revealed a 4 cm × 3 cm tender, irreducible, nonpulsatile mass in the right groin just under the inguinal ligament. There was no cough impulse. A diagnosis of a femoral hernia was made. Exploration of the mass confirmed the diagnosis of the femoral hernia, but sac contained the right fallopian tube. The uterine tube was easily reduced back into the abdomen as it looked healthy and the hernia defect was repaired with Mac Vay technique. The patient made good recovery. CONCLUSION: This case is educational as it highlights the importance of managing women with femoral masses with care.