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Combined laparoscopic resection of intestinal stenosis of Garré and open preperitoneal mesh repair for irreducible femoral hernia
Author(s) -
Soeta Nobutoshi,
Saito Takuro,
Higuchi Mitsunori,
Nemoto Tetsutaro,
Matsuida Hazime,
Oshibe Ikuro
Publication year - 2018
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12402
Subject(s) - medicine , femoral hernia , groin , surgery , bowel obstruction , hernia , stenosis , bowel resection , hernia repair , internal hernia , abdomen , abdominal pain , vomiting , radiology , inguinal hernia
Intestinal stenosis of Garré is a rare condition caused by a benign fibrous bowel stricture due to complicated strangulated hernia. We present a case of intestinal stenosis of Garré associated with right femoral hernia in an 85‐year‐old woman. The patient visited our hospital with a 2‐day history of vomiting. Her abdomen was slightly distended. A mass was palpated in the right groin region. CT showed prolapse of the small intestine in the right groin region. An incarcerated right femoral hernia was diagnosed and manually reduced. Thirteen days later, the patient complained of abdominal pain. CT revealed dilatation and caliber change in part of the small bowel, indicating a small bowel obstruction due to intestinal stenosis of Garré. Laparoscopic release of the bowel obstruction and femoral hernia repair via an anterior approach were performed simultaneously. No recurrence of femoral hernia or bowel obstruction was noted at the 15‐month follow‐up.