CT Diagnosis of Pediatric Femoral Hernia(Case Reports)

Suzumura Kazuhiro, Iiboshi Yasuhiko, Sawai Toshio, Tazuke Yuko, Seki Yasuji, Fujimoto Jiro

doi:10.11164/jjsps.42.6_656

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CTが診断に有用であった小児大腿ヘルニアの1例(症例報告)
症例報告 CTが診断に有用であった小児大腿ヘルニアの1例
ショウレイホウコク CT ガシンダンニユウヨウデアッタショウニダイタイヘルニアノ 1レイ

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Description

We report a case of pediatric incarcerated femoral hernia after right external inguinal hernia repair. This case was a 10-year-old girl who complained of pain in the right inguinal region. On physical examination, a bulge was found in the right inguinal region, and it could not be reduced. She was diagnosed with a recurrent and incarcerated inguinal hernia, and she visited our hospital. A computed tomography (CT) scan showed protrusion of the hernia sac inferior to the inguinal ligament. The patient was diagnosed with an incarcerated femoral hernia, and underwent an emergency operation. Under general anesthesia, the bulge was reduced. The inguinal canal was opened, but the recurrence of external inguinal hernia was not found. The hernia sac was found inferior to the inguinal ligament. Nothing was palpable in the hernia sac. The femoral hernia was remedied by the usual femoral approach. The girl was discharged a day after surgery. No femoral hernia has recurred for a month. Femoral hernia in children is very rare and difficult to diagnose. CT is useful for diagnosing femoral hernia preoperatively.

Journal

Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 42 (6), 656-660, 2006

The Japanese Society of Pediatric Surgeons

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