2019 Volume 39 Issue 4 Pages 787-791
An 84-year-old woman consulted a hospital for left inguinal pain. At the hospital she was diagnosed as having an incarcerated inguinal hernia and was referred to our hospital. A CT exam revealed fluid collection with air bubbles in the inguinal canal. We diagnosed the condition as a strangulated hernia of small intestine with an inguinal canal abscess and performed an exploratory laparotomy. Intraoperatively, a uterine fibroid was observed incarcerated into the deep inguinal ring. During dissection of the adhesion of the uterine fibroid into the deep inguinal ring, pus was observed in the inguinal canal. The tissue of the inguinal canal had been destroyed by the inflammation. We opened the abscess and closed the deep inguinal ring. We report in this paper on a very rare case of an inguinal abscess due to an uterine fibroid incarcerated in an inguinal hernia .
