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Srpski arhiv za celokupno lekarstvo 2019 Volume 147, Issue 5-6, Pages: 368-370
https://doi.org/10.2298/SARH180301051M
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A case of a three-month-old female infant with incarcerated femoral hernia

Mladenović Jovan (Faculty of Medicine, Kosovska Mitrovica)
Videnović Nebojša ORCID iD icon (Faculty of Medicine, Kosovska Mitrovica)
Filipović Milan ORCID iD icon (Faculty of Medicine, Kosovska Mitrovica)
Mladenović Raša ORCID iD icon (Faculty of Medicine, Kosovska Mitrovica)
Elek Zlatan (Faculty of Medicine, Kosovska Mitrovica)

Introduction. Femoral hernia in children is very rare and it appears in 0.2% of all hernias during childhood. It is three times more frequent in girls. The aim of this paper is to present a female infant with incarcerated femoral hernia. Case outline. A female infant aged three months was hospitalized with classical clinical signs of incarcerated left femoral hernia. After preoperative preparation, a transversal inguinal incision was performed on the left side and an incarcerated femoral hernia was confirmed with a torn and gangrenous left ovary and fallopian tube. Following adnexectomy, the hernia sac was ligated and resected and hernioplasty was made by the reconstruction of the Cooper’s ligament. Conclusion. A delayed surgical intervention for incarcerated femoral hernia in a female can result in a loss of the ovary and the fallopian tube, which may lead to serious consequences later in life.

Keywords: femoral hernia, incarceration, ovary and fallopian tube