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CC BY 4.0 · Rev Bras Ginecol Obstet 2019; 41(08): 520-522
DOI: 10.1055/s-0039-1693055
Case Report
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Femoral Hernia Containing the Right Fallopian Tube: A Rare Finding

Hérnia femoral contendo a trompa de falópio direita: um achado raro
Duarte Viveiros 
1   General Surgery Department, Coimbra Hospital and University Center, Coimbra, Portugal
,
André Lázaro
1   General Surgery Department, Coimbra Hospital and University Center, Coimbra, Portugal
2   Coimbra University, Medicine Faculty, Coimbra, Portugal
,
Hélder Carvalho
1   General Surgery Department, Coimbra Hospital and University Center, Coimbra, Portugal
› Author Affiliations
Further Information

Publication History

11 March 2019

21 May 2019

Publication Date:
26 August 2019 (online)

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Abstract

Femoral hernias comprise a small proportion of all groin hernias. They are more common in women and have a high rate of incarceration and strangulation, leading to emergency repair. A 61-year-old female patient was admitted to the emergency department complaining of a 2-day painful lump in the right groin, that had become more intense in the last 24 hours. Physical examination suggested the presence of a strangulated femoral hernia, and the patient underwent emergency surgical repair. Intraoperatively, the right fallopian tube was observed in the hernia sac. Since there were no signs of ischemia, the tube was reduced back into the pelvic cavity and the hernia was repaired. The postoperative period was uneventful, and the patient was discharged without complications, 3 days after surgery.

Resumo

As hérnias femorais representam uma pequena fração de todas as hérnia da região inguinal. Elas são mais comuns entre as mulheres e estão associadas a elevadas taxas de complicações, como encarceramento e estrangulamento, com necessidade de cirurgia urgente. Uma paciente do sexo feminino, de 61 anos, recorreu ao serviço de emergência por quadro de dor e tumefação da região inguinal direita com 2 dias de evolução e agravamento nas últimas 24 horas. O exame objetivo sugeria a presença de uma hérnia femoral encarcerada, e a paciente foi submetida a cirurgia urgente. Intraoperatoriamente, confirmou-se o diagnóstico de hérnia femoral encarcerada, que continha a trompa de falópio direita no interior do saco herniário. Uma vez que a que a trompa não apresentava sinais de isquemia, o conteúdo da hérnia foi reduzido, e procedeu-se à sua reparação. O período pós-operatório decorreu sem intercorrências, e a paciente teve alta no 3° dia após a cirurgia.

Keywords

femoral hernia - fallopian tube - ovary - infertility

Palavras-chave

hérnia femoral - trompa de falópio - ovário - infertilidade
 

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