Bilateral Secondary Femorocele in a Case of Ascites Due to Cardiac Cirrhosis Following Dual Valvular Replacement for Rheumatic Heart Disease.

Ketan Vagholkar
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Abstract

Background: Fluid collection in a femoral hernia sac designated as a femorocele is an extremely uncommon surgical condition. Till date 9 cases of unilateral femorocele and one case of bilateral femorocele have been reported in English literature.

Objective: Thus making the case presented the second case of bilateral femorocele in English literature.

Case report: A case of bilateral femorocele in a patient suffering from rheumatic heat disease who had undergone dual valvular replacement with ascites due to cardiac cirrhosis is presented to highlight the surgical challenges in management of such a rare case.

Discussion: Pathophysiology, clinical features, investigations and managemeny of femorocele are discussed.

Conclusion: Contrast enhanced CT scan of the abdomen and scrotum is diagnostic. Open surgery in the form of dissection of sac with high ligation followed by obliteration of femoral ring is therapeutic. There is no scope of laparoscopy in such a case.

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风湿性心脏病双瓣膜置换术后肝硬化并发双侧继发性股精囊肿腹水1例
背景:股疝囊积液被指定为股膨出是一种极不常见的手术情况。迄今为止,英国文献报道了9例单侧股骨膨出和1例双侧股骨膨出。目的:使本病例成为英国文献中第二例双侧股骨膨出病例。病例报告:一名患有风湿热疾病的患者因肝硬化腹水进行了双瓣膜置换术,该患者出现双侧股膨出,以突出这种罕见病例的外科治疗挑战。讨论:对股骨膨出的病理生理、临床特点、调查和处理进行了讨论。结论:腹部和阴囊的CT增强扫描具有诊断价值。切开手术是一种治疗方法,先剥离囊,再高位结扎,然后闭塞股环。在这种情况下没有腹腔镜检查的范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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