2019 Volume 39 Issue 5 Pages 975-978
A 36–year–old female with a one–day history of pain and swelling in the right inguinal region was admitted to our hospital. Physical examination revealed a small mass in the right side of the femoral region, which was nonreducible. Abdominal contrast–enhanced computed tomography showed a 10mm mass in the right femoral region and no findings of ileus. Transvaginal sonography showed bilateral normal ovaries in the pelvic cavity. She was diagnosed as having a right incarcerated femoral hernia with the contents unknown, and underwent an emergency operation. Laparoscopy revealed a right incarcerated femoral hernia containing the right fallopian tube. No signs of ischemic change was detected and the content was reduced back into the pelvic cavity. The femoral hernia was repaired with mesh, covering the myopectineal orifice. Her postoperative course was uneventful and she was discharged on the third day after the operation. There is a possibility that the contents of a femoral hernia without any findings of ileus in females could be uterine appendages. Laparoscopic surgery for a femoral hernia containing an unknown visceral organ is very useful for differential diagnosis and treatment.
