A Case of a Femoral Hernia with Incarcerated Transverse Colon in a 92-year-old Woman

Abstract

We report a case of femoral hernia with an incarcerated transverse colon in an elderly patient. A 92-year-old woman visited another hospital with a complaint of anorexia and was referred to our hospital with a diagnosis of femoral hernia. An abdominal CT revealed that the transverse colon was incarcerated in the right inguinal region, while the oral side of the intestine was dilated from the same region. Since the hernia could not be reduced by manipulation, an emergency operation was performed under general anesthesia. The presence of a fist-sized hernia sac that was located caudal to the inguinal ligament led to a diagnosis of femoral hernia. The hernial contents were the transverse colon and omentum. An absence of necrosis was noted, and subsequently, the transverse colon was repositioned in to the abdominal cavity through an additional incision in the lower abdomen. The hernia sac was ligated, and a flat mesh was placed in the preperitoneal space and fixed to the Cooper's ligament. A seroma was discovered after surgery;however, the patient was discharged home on the 21st postoperative day.