Obstructed right Duari hernia

  • Ugochukwu U Nnadozie Division of Plastic Surgery, Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria.
  • Otuu Onyeyirichi General Surgery Unit, Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State Nigeria
  • Charles C Maduba Division of Plastic Surgery, Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria.
  • Andrew C Ekwesianya General Surgery Unit, Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State Nigeria
Keywords: Duari hernia, groin hernia, inguinal hernia, obstructed femoral hernia, strangulated hernia

Abstract

The caecum and appendix are uncommon contents of femoral hernia (Duari hernia). Diagnosis is usually intraoperative. We report a rare case of obstructed right femoral hernia in a 65-year-old woman. She was admitted into the accident and emergency department because of sudden irreducibility of a previously reducible right groin swelling of 5 years duration. She had obstructive symptoms with an irreducible right groin mass clinically diagnosed as obstructed right femoral hernia. A combination of infra-inguinal transverse incision and a lower midline laparotomy incision was used. The intraoperative findings included the herniation of the caecum and appendix into the right femoral canal. Patient had an uneventful recovery. Duari hernia is uncommon. A high index of suspicion and an experienced
surgeon, who can handle uncommon findings should be involved in the management of obstructed femoral hernias.

Published
2021-09-30

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print ISSN: 0016-9560