PMC8411615_01
Groin abscess.
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A 78-year-old female patient with a known case of diabetes mellitus (DM) presented to emergency department with groin abscess (Figure 1).
US of left groin area showed left groin abscess.
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Ultrasound examination showed a left groin collection with septations and echoes measuring around 4.5 x 3.3 cm and an umbilical collection containing debris measuring 7.5 x 2.3 cm with a neck measuring 1.4 cm (Figure 2).
CT abdomen showed femoral hernia (yellow arrow).
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The CT showed strangulated FH with evidence of bowel obstruction (Figure 3).
Intraoperative findings: (a) Ischemic small bowel, (b) femoral defect (transperitoneal
view).
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She underwent exploratory laparotomy through midline incision, which showed a part of the small bowel strangulated within the left femoral canal; reduction was done and a 5 cm gangrenous segment was found which was resected and re-anastomosed; a gangrenous sac was found and resected, and hernia was repaired through preperitoneal approach by closure of the femoral ring via approximation of conjoint tendon and pectineal ligaments (Figures 4 and 5).
Femoral ring closure (extraperitoneal): (a) Approximation of conjoint tendon (blue
arrow) with Cooper's ligament (black arrow), (b) after repair.
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She underwent exploratory laparotomy through midline incision, which showed a part of the small bowel strangulated within the left femoral canal; reduction was done and a 5 cm gangrenous segment was found which was resected and re-anastomosed; a gangrenous sac was found and resected, and hernia was repaired through preperitoneal approach by closure of the femoral ring via approximation of conjoint tendon and pectineal ligaments (Figures 4 and 5).