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Hydrocele of Femoral Hernial Sac—an Extremely Rare Case

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Abstract

A previously healthy 40-year-old woman presented with a right groin swelling for the last 2 years. Diagnosed preoperatively as uncomplicated, irreducible epiplocele of right femoral hernia, later per-operatively was diagnosed as hydrocele of femoral hernial sac also known as “femorocele”; ultrasound abdomen and groin demonstrated as a cystic mass right groin with no precise origin. All other basic line investigations within normal limits, except anemia 7 gm %, corrected to 10 gm %, by preoperative transfusions of 2 units of complete fresh blood. After low approach incision, excision of hydrocele sac, and feormal hernia repair were done with approximation of iliopectineal ligament to inguinal ligament, patient was discharged on 5th postoperative day with satisfactory wound healing and uneventful hospitalization.

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References

  1. Bailey H (1927) Hydrocele of a femoral hernia sac. Br J Surg 15:166

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Further Reading

  1. Babcock WW (1935) A textbook of surgery, 2nd edn. W.B. Saunders Co, Philadelphia and London, p 1138

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  2. DeGarmo WB (1907) Abdominal hernia, its diagnosis and treatment. J.B. Lippincott Co, Philadelphia and London, pp 307–308

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  3. Marcy HO (1892) The anatomy and surgical treatment of hernia. D. Appleton and Co., New York, p 126

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  4. Erdman S (1927) Hernia. Nelson’s loose leaf living surgery, 4th edn. Thos. Nelson & Sons, New York, p 647

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  5. Cooper SA (1844) The anatomy and surgical treatment of abdominal hernia, 2nd edn. Lea and Blanchard, London, p 206

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Acknowledgments

No funding has been received on this work. I would like to thank my Unit Prof. S. Madhivanan, who motivated me to proceed and concerned for permission to report the case. I feel thankful to my post-graduates Dr. Ram and Dr. Prem for the clinical data collection and my wife Dr. Anjula Jain M.D (Path.) for her invaluable support with the manuscript.

Authors’ Contributions

All authors read and approved the final manuscript. Dr. Ravindra Kumar Jain was a major contributor in writing the manuscript and has been involved in the acquisition of data and review of the literature. R.K Jain was involved in drafting the manuscript and revising it critically for important intellectual content. Prof. S. Madhivanan gave final approval of the version to be published.

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Correspondence to Ravindra Kumar Jain.

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The authors declare that they have no competing interests.

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Written informed consent was obtained from the patient for publication of this report and accompanying images. A copy of the written consent is available for review by the editor-in-chief of this journal.

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Madhivanan, S., Jain, R.K. Hydrocele of Femoral Hernial Sac—an Extremely Rare Case. Indian J Surg 78, 235–237 (2016). https://doi.org/10.1007/s12262-015-1389-2

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  • DOI: https://doi.org/10.1007/s12262-015-1389-2

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