ABSTRACT
INTRODUCTION: The incidence of pediatric inguinal hernias ranges up to 13 %. Currently, many different techniques are being used to successfully perform herniotomy and risks of complications are minor. CASE REPORT: This case report describes a 4-year-old male patient who underwent routine herniotomy during which the femoral vein was mistaken for hernial sac and thereby the femoral vein was transected. Postoperative vascular duplex ultrasonography revealed a complete transection of the right common femoral vein. Multiple treatment options such as venous reconstruction and interposition were considered, but a conservative treatment was chosen. At 6 months postoperative, the patient only shows minor complaints. Long-term results remain uncertain, especially since no similar case has previously been described in the current literature.
Subject(s)
Femoral Vein/injuries , Hernia, Inguinal/surgery , Herniorrhaphy/adverse effects , Vascular System Injuries/therapy , Child, Preschool , Conservative Treatment , Femoral Vein/diagnostic imaging , Femoral Vein/surgery , Herniorrhaphy/methods , Humans , Intraoperative Complications/therapy , Male , Ultrasonography , Vascular System Injuries/diagnostic imaging , Vascular System Injuries/etiologyABSTRACT
A 68-year-old female presented with acute abdominal discomfort in the left lower quadrant and a painful left leg. Her medical history only revealed an eating disorder. Physical examination was insignificant. Diagnostic imaging showed an obturator hernia; subsequently, a laparotomy was performed. An obturator hernia, also known as little old ladies' disease, is associated with abdominal pain and a painful leg.
