Abstract
A 39-year-old woman who had undergone a hernia repair using mesh-plug method for a right external inguinal hernia elsewhere became to have an occasional bulge with the size of thumb at the right inguinal region since one month after the operation. She had let the bulge alone because it was painless until 1.5 years after the operation, when the bulge with a slight pain appeared in the same site. The patient visited a previous doctor who had performed the operation because she felt symptoms different from the previous symptoms. The patient was referred to our hospital with a suspicion of recurrence of inguinal hernia. Physical examinations revealed an egg-sized palpable tumor which could not be reduced by hands at the caudate side from the right inguinal ligament. CT scan showed findings of femoral hernia. The patient was considered a candidate for surgery. During surgery femoral hernia containing the Fallopian tube and tubal isthmus was diagnosed. No findings suggestive of circulatory impairment were seen. The hernia contents were reduced through the femoral ring and the femoral ring was repaired by means of UPP method. The patient has been free from recurrence as of five months after the second operation.
We present the case of femoral hernia containing the Fallopian tube and tubal isthmus after surgery for inguinal hernia, which is rare.
