Incarcerated femoral hernia containing the ipsilateral fallopian tube without ovarian involvement: A rare case report

Introduction

Femoral hernias, though less common than inguinal hernias, have a higher propensity for incarceration and strangulation, often leading to significant morbidity and mortality. They are more prevalent in women, and their clinical diagnosis remains challenging.

Presentation of case

This case report describes a 35-year-old woman presenting with an incarcerated right femoral hernia containing the ipsilateral fallopian tube alone, without the ovary. Emergency surgery revealed the fallopian tube within the hernia sac without ischemic changes, and repair was successfully performed using the McVay operation.

Discussion

Femoral hernias are rare but prone to complications like incarceration and strangulation. Isolated fallopian tube incarceration without ovarian involvement is extremely uncommon and challenging to diagnose, often requiring imaging for confirmation. Early surgical intervention, such as the McVay operation, is essential to prevent morbidity and ensure favorable outcomes.

Conclusion

This case highlights the importance of early diagnosis and appropriate surgical intervention in managing rare presentations of femoral hernias to prevent complications.