2024 Volume 49 Issue 6 Pages 539-544
An 89-year-old woman visited our department thrice over an 11-year period with complaints of a mass in the right inguinal region. Based on physical examination and computed tomography (CT) findings, the mass was diagnosed as a right inguinal cyst. She later presented to the emergency room with abdominal pain, vomiting, and nausea lasting over a 4-day period. On physical examination, we found a mass in the right inguinal region, which was later shown by CT to be an incarcerated small intestine in the right femoral canal. A diagnosis of an incarcerated right femoral hernia was made. Emergency single-incision laparoscopic surgery showed an incarcerated small intestine. After reduction, the incarcerated small intestine was found to be necrotic. Therefore, we resected the incarcerated portion of the small intestine. The postoperative course was smooth. Afterwards, a totally extraperitoneal preperitoneal femoral hernia repair was performed as secondary surgery. In the management of an inguinal cyst, a femoral hernia should be considered and ruled out. Additionally, an elective repair should be performed as soon as practicable to prevent possible incarceration.
