Title: Obstructed Femoral Hernia with Metastatic Ovary as Content with Primary Tumour in? Stomach- A Rare Case Report

Authors: Dr Munireddy. M.V, Dr Krishnaparsad.K, Dr Praveen.G.P, Dr Vivek.H

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i7.192

Abstract

Femoral hernia is more common in women and lead to a higher rate of emergency surgery due to more chances of strangulation. Obstructed femoral hernia with ovary as  content is an extremely rare condition1. A 54 year old woman presented with swelling in the right groin since 5 days, associated with pain since 1 day. On examination swelling is tender and firm in consistency. Preoperative ultrasound shown swelling in right inguinal area just below inguinal ligament near femoral triangle suggesting femoral hernia. After preoperative evaluation patient underwent emergency surgery and the diagnosis of obstructed femoral hernia with ovary as content was established. Ovary released from hernia sac, part of tissue taken for histopathology, which was confirmed that hernial content was metastaic poorly differentiated adenocarcinoma ovary (krukenberg tumour). Hernial defect was repaired with polypropylene. The Post operative period was uneventful and the woman was discharged with stable condition.

Key words: femoral hernia, obstruction, metastatic ovary.

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