title: Rare complication of pediatric inguinal hernia repair: case report of transection of the femoral vein.
abstract: The incidence of pediatric inguinal hernias ranges up to 13 %. Currently, many different techniques are being used to successfully perform herniotomy and risks of complications are minor.
  
  
  
  This case report describes a 4-year-old male patient who underwent routine herniotomy during which the femoral vein was mistaken for hernial sac and thereby the femoral vein was transected. Postoperative vascular duplex ultrasonography revealed a complete transection of the right common femoral vein. Multiple treatment options such as venous reconstruction and interposition were considered, but a conservative treatment was chosen. At 6 months postoperative, the patient only shows minor complaints. Long-term results remain uncertain, especially since no similar case has previously been described in the current literature.
authors.affiliation: Department of Surgery, Spaarne Gasthuis, PO Box 417, 2000 AK, Haarlem, The Netherlands. rr.ossendorp@vumc.nl.
authors.forename: R R
authors.identifier: 0000-0002-9339-009X
authors.initials: RR
authors.lastname: Ossendorp
authors.affiliation: Department of Vascular Surgery, Academic Medical Center Amsterdam, PO Box 22660, Amsterdam, The Netherlands.
authors.forename: M J W
authors.initials: MJ
authors.lastname: Koelemay
authors.affiliation: Department of Surgery, Spaarne Gasthuis, PO Box 417, 2000 AK, Haarlem, The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: Vermeulen
mesh_terms: D002675:Child, Preschool; D000072700:Conservative Treatment; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy; D008297:Male; D014463:Ultrasonography; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
keywords: Femoral vein; Intraoperative complication; Pediatric hernia