Akademik Veri Yönetim Sistemi
The XII CONGRESS of The WORLD SOCIETY of EMERGENCY SURGERY, Antalya, Türkiye, 21 - 25 Ekim 2025, ss.49, (Özet Bildiri)
Background: Strangulated femoral hernias are usually diagnosed through a combination of clinical history and physical examination. However, altered anatomy or extensive scar tissue from previous injuries may obscure typical signs. Case Presentation: A 76-year-old woman with a history of extensive burn injury at age 4 presented with a 15-day history of inability to pass flatus and stool. Physical examination did not reveal a palpable groin mass or localized tenderness, likely due to scarring and tissue changes from her childhood burns. Laboratory tests showed leukocytosis (15,520/µL) and elevated C-reactive protein (330 mg/L). CT revealed small bowel loops and mesentery herniated through the right inguinal canal, with signs of strangulation and perforation. The patient underwent emergency laparoscopic exploration, converted to open surgery upon identification of full-thickness bowel damage. A 20 cm ileal segment containing the perforation was resected, followed by functional end-to-end anastomosis. Recovery was uneventful, and she was discharged on postoperative day 7. Conclusion: This case emphasizes that in patients with altered local anatomy, physical examination may be inconclusive, and reliance on advanced imaging is critical for timely diagnosis of strangulated hernia. Keywords: burn, strangulation, femoral hernia