Strangulated Left Lateral Inguinal Hernia in a 54-Year-Old Woman: A Case Report

Authors

  • Taufik Sudirman Department of Surgery, Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Banten, Indonesia
  • Clarissa Surya Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Banten, Indonesia
  • Sinta Marina Faculty of Medicine, Pelita Harapan University, Karawaci, Tangerang, Banten, Indonesia

DOI:

https://doi.org/10.19166/med.v11i2.7532

Keywords:

Inguinal hernia, Strangulated, Women, Herniotomy

Abstract

Introduction: Around 20 millions of hernia repairs were done annually with women presenting least cases. The occurrence of inguinal hernia in female patients is 3-6%, which is lower than men (27-43%). Inguinal hernia itself may present as a bulge in the groin in which the definitive treatment is through surgery. Although many research were done for hernia repair in men, guidelines for women are still currently observed with less favourable outcomes.

Case illustration: A 54-year-old woman came to the ED complaining of pain of protruding bulge in the groin area for two hours. The patient has had a history of bulging for three years, which was previously reducible. Examination of the inguinal region revealed a lump with a diameter of +/- 4 cm and painful when palpated. Abdominal USG showed a left inguinal hernia consisting intestinal tissues. Open herniotomy with mesh grafting was performed and the patient got discharged after 4 days of hospitalisation.

Conclusion: Lifetime risk for development of inguinal hernia is higher in men compared to women, but the rate of emergency procedures in women is 3 to 4-fold higher than in men. Guidelines for hernia repair in women show less favourable results than in men. Therefore, special steps must be taken in the repair of inguinal hernia in women.

References

1. Hammoud M, Gerken J. Inguinal Hernia. [Updated 2021 Aug 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Available from: Inguinal Hernia - StatPearls - NCBI Bookshelf (nih.gov)

2. Pastorino A, Alshuqayfi AA. Strangulated Hernia. [Updated 2021 Dec 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555972/

3. Das C, Jamil T, Stanek S, Baghmanli Z, Macho JR, Sferra J, Brunicardi FC. Inguinal Hernias. In Schwartz's Principles of Surgery 2019 (pp. 1599-1624). McGraw Hill Education.

4. Morrison Z, Kashyap S, Nirujogi VL. Adult Inguinal Hernia [Internet]. StatPearls. 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537241/

5. Mouravas V, Sfoungaris D. The Etiology of Indirect Inguinal Hernia In Adults: congenital, acquired or both? Hernia. 2015 Dec;19(6):1037-8. https://doi.org/10.1007/s10029-015-1365-6

6. Jiang ZP, Yang B, Wen LQ, Zhang YC, Lai DM, Li YR, Chen S. The Etiology of Indirect Inguinal Hernia In Adults: Congenital or Acquired? Hernia. 2015 Oct;19(5):697-701. https://doi.org/10.1007/s10029-014-1326-5

7. Köckerling F, Koch A, Lorenz R. Groin hernias in women””a review of the literature. Front. Surg. 2019 Feb 11;6:1-8. https://doi.org/10.3389/fsurg.2019.00004

8. Fitzgibbons RJ, Forse RA. Clinical practice. Groin Hernias In Adults. N Engl J Med. 2015; 372(8): 756-763. https://doi.org/10.1056/nejmcp1404068

9. Lockhart K, Dunn D, Teo S, Ng JY, Dhillon M, Teo E et al. Mesh Versus Non-mesh For Inguinal And Femoral Hernia Repair. Cochrane Database Syst Rev. 2018; (9): CD011517. https://doi.org/10.1002/14651858.cd011517.pub2

10. Burcharth J, Pommergaard HC, Bisgaard T, Rosenberg J. Patient-related Risk Factors For Recurrence After Inguinal Hernia Repair: A Systematic Review And Meta-analysis of Observational Studies. Surg Innov. (2015) 22:303-17. https://doi.org/10.1177/1553350614552731

11. Burcharth J, Andresen K, Pommergaard HC, Bisgaard T, Rosenberg J. Direct Inguinal Hernias And Anterior Surgical Approach Are Risk Factors For Female Inguinal Hernia Recurrences. Langenbecks Arch Surg. (2014) 399:71-6. https://doi.org/10.1007/s00423-013-1124-z

12. Carter J, Duh QY. Laparoscopic Repair of Inguinal Hernias. World J Surg. 2011 Jul;35(7):1519-25. https://doi.org/10.1007/s00268-011-1030-x

13. Ashfaq A, McGhan LJ, Chapital AB, Harold KL, Johnson DJ. Inguinal Hernia Repair In Women: Is The Laparoscopic Approach Superior? Hernia. 2014 Jun;18(3):369-7. https://doi.org/10.1007/s10029-013-1126-3

Downloads

Published

2023-10-13

Issue

Vol. 13 No. 1 (2023): October

Section

Case Report

License

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-SA 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website). The final published PDF should be used and bibliographic details that credit the publication in this journal should be included.