PDF(Pubmed)
Abstract：
UNASSIGNED: Femoral hernias following inguinal hernia repairs are an unusual occurrence that presents diagnostic challenges for healthcare providers. Surgical repair of inguinal hernias is generally successful, but complications and recurrence can arise. The coexistence of femoral hernias following inguinal hernia repairs is rare, requiring careful evaluation and management.
METHODS: A middle-aged patient sought medical attention with complaints of recurrent groin pain and a palpable bulge in the inguinal region. Initial imaging studies, including ultrasonography and contrast-enhanced computed tomography (CT), pointed towards an inguinal hernia, leading to the scheduling of surgical repair. However, during the operation, the surgeon discovered a femoral hernia, highlighting the limitations of imaging techniques in accurately diagnosing these hernia types.
UNASSIGNED: Due to anatomical variations and overlapping signs and symptoms, distinguishing between femoral and inguinal hernias can be challenging. Scar tissue from previous inguinal hernia repairs can further complicate imaging interpretations. Intraoperative exploration becomes crucial to confirm the diagnosis and facilitate proper surgical repair.
CONCLUSIONS: The reported case emphasizes the importance of maintaining vigilance in evaluating patients with suspected hernias, particularly those with prior inguinal hernia repairs. Relying solely on imaging studies can lead to misdiagnosis, as illustrated by the discovery of a femoral hernia during surgery. Healthcare providers should be aware of the possibility of femoral hernias and conduct comprehensive evaluations to ensure timely intervention and improve patient outcomes. Further research and awareness are essential to optimize the care of such uncommon clinical scenarios.
METHODS: A middle-aged patient sought medical attention with complaints of recurrent groin pain and a palpable bulge in the inguinal region. Initial imaging studies, including ultrasonography and contrast-enhanced computed tomography (CT), pointed towards an inguinal hernia, leading to the scheduling of surgical repair. However, during the operation, the surgeon discovered a femoral hernia, highlighting the limitations of imaging techniques in accurately diagnosing these hernia types.
UNASSIGNED: Due to anatomical variations and overlapping signs and symptoms, distinguishing between femoral and inguinal hernias can be challenging. Scar tissue from previous inguinal hernia repairs can further complicate imaging interpretations. Intraoperative exploration becomes crucial to confirm the diagnosis and facilitate proper surgical repair.
CONCLUSIONS: The reported case emphasizes the importance of maintaining vigilance in evaluating patients with suspected hernias, particularly those with prior inguinal hernia repairs. Relying solely on imaging studies can lead to misdiagnosis, as illustrated by the discovery of a femoral hernia during surgery. Healthcare providers should be aware of the possibility of femoral hernias and conduct comprehensive evaluations to ensure timely intervention and improve patient outcomes. Further research and awareness are essential to optimize the care of such uncommon clinical scenarios.
摘要：
■腹股沟疝修补术后的股疝是一种不寻常的事件，对医疗保健提供者提出了诊断挑战。腹股沟疝的手术修复通常是成功的，但可能会出现并发症和复发。腹股沟疝修补术后并发股疝的情况很少见，需要仔细的评估和管理。
方法：一名中年患者因反复腹股沟疼痛和腹股沟区明显隆起而求医。初步成像研究,包括超声和对比增强计算机断层扫描（CT），指向腹股沟疝,导致手术修复的安排。然而,手术期间,外科医生发现了股疝,强调成像技术在准确诊断这些疝类型方面的局限性。
■由于解剖变异和重叠的体征和症状，区分股疝和腹股沟疝可能具有挑战性。先前腹股沟疝修补术的疤痕组织可能会使影像学解释更加复杂。术中探查对于确认诊断和促进适当的手术修复至关重要。
结论：报告的病例强调了在评估疑似疝气患者时保持警惕的重要性，尤其是那些有腹股沟疝修补术的人.单纯依靠影像学检查会导致误诊,手术期间发现了股疝。医疗保健提供者应意识到股疝的可能性，并进行全面评估，以确保及时干预并改善患者预后。进一步的研究和意识对于优化这种罕见的临床情景至关重要。
方法：一名中年患者因反复腹股沟疼痛和腹股沟区明显隆起而求医。初步成像研究,包括超声和对比增强计算机断层扫描（CT），指向腹股沟疝,导致手术修复的安排。然而,手术期间,外科医生发现了股疝,强调成像技术在准确诊断这些疝类型方面的局限性。
■由于解剖变异和重叠的体征和症状，区分股疝和腹股沟疝可能具有挑战性。先前腹股沟疝修补术的疤痕组织可能会使影像学解释更加复杂。术中探查对于确认诊断和促进适当的手术修复至关重要。
结论：报告的病例强调了在评估疑似疝气患者时保持警惕的重要性，尤其是那些有腹股沟疝修补术的人.单纯依靠影像学检查会导致误诊,手术期间发现了股疝。医疗保健提供者应意识到股疝的可能性，并进行全面评估，以确保及时干预并改善患者预后。进一步的研究和意识对于优化这种罕见的临床情景至关重要。
