Femoral vein occlusion and spontaneous collateral ectasia presenting as recurrent hernia of the groin: a case report.
Femoral vein occlusion is not a common complication even after repeated hernia repair. We describe a case of a 14-year-old boy with a visible and soft, yet irreducible, mass below the inguinal ligament after 3 previous inguinal hernia repairs and heart catheterization in infancy. Further examination showed dilated venous collaterals, bypassing an occluded common femoral vein via the testicular sheaths and across the pelvic floor. We discuss etiology, diagnostic pitfalls, therapeutic options, and possible future complications, with a literature review.
Reingruber
Bertram
B
Division of Pediatric Surgery, University Hospital, 12D-91054 Erlangen, Germany. bertram.reingruber@chir.imed.uni-erlangen.de
Jüngert
Jörg
J
Schott
Günter
G
Lang
Werner
W
D000293:Adolescent; D006328:Cardiac Catheterization; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic / Q000209:etiology; D018450:Disease Progression; D005260:Female; D005268:Femoral Vein / Q000473:pathology*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D012008:Recurrence; D014652:Vascular Diseases / Q000175:diagnosis / Q000209:etiology