An Occult Obstructed Inguinal Hernia in a Female Patient: A Case Report

Abstract

Background: Groin hernia includes both inguinal and femoral variety but the incidence of inguinal hernia in females is relatively low.  Hidden or occult obstructed inguinal hernia in females is a rarity that can turn into a catastrophic event owing to misdiagnosis.  Hence, detailed clinical and radiological investigation is essential for diagnosis of occult inguinal hernia so as to prevent any untoward complications.  Inguinal hernia surgery is one of the safest and effective procedures performed in surgical discipline.  The aim of this study was to report a case of occult obstructed inguinal hernia with no specific symptoms. Case Presentation: Present case study was done on a 62-year old lady who presented with non specific abdominal symptoms. Radiological investigations detected an occult obstructed bowel loop in the right inguinal region.  She underwent open herniorrhaphy with successful reduction of its content in viable form located lateral to Hesselbach triangle.  Her post-operative recovery period was uneventful. Conclusion: Diagnosis and intervention of occult obstructed inguinal hernia with non-specific symptoms should be done at the earliest to prevent any further complications like incarceration and strangulation.