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Incarcerated femoral hernia containing the right uterine tube. A pre-operative diagnosis is possible.
MedLine Citation:
PMID:  21988051     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The incarcerated femoral hernia containing the right uterine tube is very rare to see. The case report is important to accumulate knowledge of very rare cases. The diagnosis of the case was established pre-operatively with abdominal computerized tomography (CT) On CT examination, the mass in the hernia sac was not connected with the intestines and a tubal structure on the right side of the uterus was shown to extend out of the abdomen. In the operation, the right uterine tube(RUT) was reduced into the abdomen after its blood supply was shown to be normal. A hernia repair was performed. Sometimes in obese patients, incarcerated femoral or inguinal hernias may not been noted. Ultrasonography, CT and magnetic resonance imaging (MRI) is used frequently to diagnose abdominal wall hernias. The organs in the incarcerated sac must be examined carefully and the viability must be checked. The surgeon must decide whether or not to resect the organs. In our case, strangulation was not found and polypropylene mesh was not used for hernia repair due to a fear of infection of the prosthesis. Incarceration of the uterine tube in the sac is traumatic and this condition may lead to infection. Such conditions may lead to ectopic pregnancy. The patient must be informed about ectopic pregnancy due to a previous incarceration of the tube because ectopic pregnancy may be fatal.
Authors:
Omer Engin; Ebru Cicek; Soner Recai Oner; Mehmet Yildirim
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annali italiani di chirurgia     Volume:  82     ISSN:  0003-469X     ISO Abbreviation:  Ann Ital Chir     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372343     Medline TA:  Ann Ital Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  409-12     Citation Subset:  IM    
Affiliation:
Surgery Department, Izmir Training and Research Hospital, Izmir, Turkey. omerengin@hotmail.com
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