A peculiar variety of indirect inguinal hernia (juxtacordal indirect inguinal hernia)
نویسندگان
چکیده
BACKGROUND Indirect inguinal hernias are usually congenital, forming a sac in the core of the spermatic cord covered by the internal spermatic, cremasteric, and external spermatic fasciae(1-3). Direct inguinal hernias are acquired; the sac lies beside/behind the cord(1-3). A rare third type is a combination of indirect and direct sacs on both sides of inferior epigastric vessels(1-3). We describe a rare fourth type, juxtacordal indirect oblique inguinal hernia (Fig. 1), in which the sac emerges through a weakness in the deep inguinal ring, lateral to inferior epigastric vessels, and passes into the inguinal canal beside and in contact with the cord but outside of its covering fasciae. OBJECTIVE Describes a very rare variety of inguinal hernia. DESIGN Case reports. SETTING Tikrit Teaching Hospital/Salahuddin/Iraq. PARTICIPANTS AND PRESENTATION The first case; a 5-year-old male with right inguinal hernia, the second case; a 25-year-old man with right inguinal hernia, the third case; a 60-year-old man with right inguinal hernia. INTERVENTIONS Surgery has been done electively for all. RESULTS AND DISCUSSION Because the sac emerges through the deep inguinal ring and passes through the inguinal canal, it is an indirect type and because it passes beside the spermatic cord we call it juxtacordal hernia. Because of the thick extraperitoneal fat layer over the sac, we think this hernia is acquired. CONCLUSIONS Knowing this type of hernia might reduce the risk of inferior epigastric vessels injury and lower the rate of recurrence.
منابع مشابه
فتق مغبنی غیرمستقیم بدون پیچخوردگی چادرینه بزرگ
Indirect Inguinal Hernia without Torsion of Greater Omentum (A case Report) M.M. Taghavi [1] , H.R. Jafari Naveh [2] Received: 30/01/10 Sent for Revision: 10/04/10 Received Revised Manuscript: 24/08/10 Accepted: 02/10/10 Background and Objectives: Inguinal hernia s account for 75-85% of abdominal wall hernias. Inguinal hernia s are often classified as direct and indirect . The s...
متن کاملHow accurately can direct and indirect inguinal hernias be distinguished?
An inguinal hernia was clinically diagnosed as direct or indirect by paired surgeons of 134 occasions. When compared with the findings at operation the hernia was correctly diagnosed in 60 of 78 observations when it was indirect and in 33 of 56 when it was direct. The level of accuracy does not warrant continuing the practice of attempting to distinguish one type of inguinal hernia from another.
متن کاملLaparoscopic repair of indirect inguinal hernia containing endometriosis, ovary, and fallopian tube in adult woman without genital anomalies
Indirect inguinal hernia containing an ovary is a rare condition, especially in adult women who do not have any other genital tract anomalies. In addition, inguinal hernia containing an ovary and endometriosis is exceedingly rare. In the present report, we describe a case of indirect inguinal hernia containing an ovary, fallopian tube, and endometriosis. Laparoscopic repair was performed succes...
متن کاملLaparoscopic total extraperitoneal hernia repair of fallopian tube indirect inguinal hernia in reproductive aged woman: a case report
An indirect inguinal hernia containing the fallopian tube alone is extremely rare in reproductive-aged women without any genital tract anomalies. Despite this rarity, early diagnosis and adequate management is important to prevent strangulation and recurrence. We present a case of an indirect inguinal hernia containing only the fallopian tube in the hernia sac, which was successfully reduced by...
متن کاملQuantitative analysis of collagen and elastic fibers in the transversalis fascia in direct and indirect inguinal hernia.
PURPOSE Our previous studies demonstrated structural and quantitative age-related changes of the elastic fibers in transversalis fascia, which may play a role in inguinal hernia formation. To verify whether there were differences in the extracellular matrix between direct and indirect inguinal hernia, we studied the amount of collagen and elastic fibers in the transversalis fascia of 36 male pa...
متن کامل