Hydrocele of the Femoral Hernial Sac

McCorkle, H.J.; Bell, H. Glenn

doi:10.1097/00000658-194102000-00010

Cited by 6 publications

(7 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2016); however, if the fluid was an extra‐abdominal out‐pouching of peritoneal fluid secondary to a tear in the superficial inguinal ring and external rectus sheath, then it would not be accurate to describe the fluid accumulation as a seroma. Hydroceles are a collection of serous fluid within the vaginal tunic and are rarely reported in the human literature (Rives 1934; McCorkle and Bell 1941; Abantanga and Lakhoo 2010). Femoral hydroceles form thin walled fluid‐filled masses confirmed to communicate with the peritoneal cavity through the femoral ring and result in swellings in the groin region (Rives 1934).…”

Section: Discussionmentioning

confidence: 99%

Peritoneal fluid accumulation in the femoral canal as a result of a post‐traumatic femoral hydrocele in a mature Warmblood stallion

Baldwin¹,

Priestnall

McMaster³

2020

Equine Veterinary Education

View full text Add to dashboard Cite

Summary The following case report documents the clinical presentation, ultrasonographic appearance, surgical management and outcome of a horse with a traumatic tear extending from the superficial and deep inguinal rings, across the aponeurosis of the external abdominal oblique muscle and inguinal ligament, disrupting the femoral ring, vascular lacuna and peritoneum. This subsequently resulted in fluid accumulation within the femoral canal. This unusual injury and presentation gives rise to discussion of the aetiology and nomenclature that should be used to properly describe this injury.

show abstract

Section: Discussionmentioning

confidence: 99%

Peritoneal fluid accumulation in the femoral canal as a result of a post‐traumatic femoral hydrocele in a mature Warmblood stallion

Baldwin¹,

Priestnall

McMaster³

2020

Equine Veterinary Education

View full text Add to dashboard Cite

show abstract

“…Sir Astley Cooper was the first scientist to describe the hydrocele of the femoral hernia sac, in 1884. When Desault brought a candle near the femoral hernia sac, he found it has a transilluminated swelling [4]. Erdman also found that a small tab of inflamed omentum with serous exudates simulating hydrocele in the femoral hernia sac [6].…”

Section: Discussionmentioning

confidence: 99%

“…He opined that without exploration, it is difficult to differentiate it from an irreducible hernia. De Garmo wrote that the narrow femoral hernia neck may get obliterated completely after the use of truss and may form the hydrocele, which can be mistakenly diagnosed as an irreducible femoral hernia [4]. But nowhere, infection of femorocele fluid has been reported before.…”

Section: Discussionmentioning

confidence: 99%

“…The presence of a potential or actual femoral hernia sac or embryonic peritoneal rest is the pre-requisite for femorocele formation. Different factors, like congenital, inflammatory, or traumatic occlusion of the communication with the peritoneal cavity, are responsible for the fluid collection in the femorocele sac like the hydrocele of the scrotum and spermatic cord in males and hydrocele of the canal of Nuck in females [2–4]. Femorocele fluid is amber-colored and sterile in nature, unless it gets infected.…”

Section: Discussionmentioning

confidence: 99%

“…Rives in 1934 published a case report of two femoroceles with no evidence of ascites [3]. McCorkle and Bell reported three cases of femorocele in the University of California Hospital, in 1941 [4]. Mote and Chakravarty in 2009 [5] and Madhivanan et al in 2016 reported another case of femorocele [6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Infected femorocele: case report of an extremely rare surgical condition in a middle-aged lady suffering from a painful inguinal swelling

Bakshi¹

2019

surg case rep

View full text Add to dashboard Cite

BackgroundThe hydrocele of the femoral hernia sac, an extremely rare occurrence, is termed femorocele. Very few authentically reported cases of femorocele are available in the literature. The present case, diagnosed as a case of infected femorocele, was managed successfully by excision of the femorocele sac and repair of the femoral hernia. To the best of the author’s knowledge, it is the first-ever reported case of infected femorocele.Case presentationA 30-year-old lady presented with a painful 3 cm × 2 cm swelling in the right inguinal region. Though the swelling was there for 2 years, the pain and indurations started after a trivial blunt trauma over the swelling 7 days ago. The patient was febrile and mild tachycardic but had no dysuria. The oval-shaped, tense-cystic, poorly translucent, non-pulsatile, non-reducible swelling showed no cough impulse. There was also a (1.5 cm × 0.5 cm) palpable right-sided superficial inguinal lymph node. Routine blood and urine analysis reports were normal except leukocytosis (10,000/mm3) with neutrophilia. Ultrasonography of the right inguino-labial region revealed a mildly echogenic cystic swelling without any intra-abdominal communication. Exploration of the right inguinal region revealed a cystic (3 cm × 2 cm) swelling, medial to the femoral vessels, containing amber-colored fluid. The distal sac was excised, and anatomical repair of femoral canal defect was done after transfixing the neck of the femorocele sac. Fibro-fatty-collagenous tissue with mixed inflammatory cells along with a flattened mesothelial lining cell layer was found on histopathological examination. Sections from inguinal lymph node showed reactive hyperplasia. Culture of fluid from the sac revealed growth of Escherichia coli. The patient was put on anti-inflammatory drugs and antibiotics according to a sensitivity test. Patient was discharged in stable condition after 5 days. Four months after the operation, the patient is doing well, remaining asymptomatic and without any sign of recurrence.ConclusionsThe hydrocele of the femoral hernia sac is an extremely rare disease. When not infected, it presents a painless inguinal soft cystic swelling, commonly in women of fourth to sixth decade. This was diagnosed intraoperatively in all cases reported till date. Excision of the sac after transfixation of the neck and anatomical repair are the treatment of choice. In elderly patients, with larger defect, the mesh repair can be opted for. The femorocele may also get infected by uropathogens, and proper antibiotics should be used after a sensitivity test.

show abstract

Hydrocoele of a femoral hernia sac

Mote

Chakravarty

2009

Hernia

View full text Add to dashboard Cite

Hydrocoele of a femoral hernia sac is an extremely rare entity. Extensive literature review and Internet searching revealed only a few authentically reported cases. It mostly occurs in females during the fourth to sixth decades of life. The most common clinical presentation is groin swelling. It is diagnosed as an irreducible or incarcerated femoral hernia or subcutaneous lipoma. In almost all of the reported cases, the diagnosis of hydrocoele of a femoral hernia sac has been made only after surgical exploration. The present case is a 40-year-old lady who presented with a painless lump in the right groin and was diagnosed as a case of hydrocoele of a femoral hernia sac only after exploration.

show abstract

Hydrocele of the Femoral Hernial Sac

Cited by 6 publications

References 1 publication

Peritoneal fluid accumulation in the femoral canal as a result of a post‐traumatic femoral hydrocele in a mature Warmblood stallion

Peritoneal fluid accumulation in the femoral canal as a result of a post‐traumatic femoral hydrocele in a mature Warmblood stallion

Infected femorocele: case report of an extremely rare surgical condition in a middle-aged lady suffering from a painful inguinal swelling

Hydrocoele of a femoral hernia sac

Contact Info

Product

Resources

About