Nhân một trường hợp thoát vị đùi: Vai trò của cắt lớp vi tính trong xác định chẩn đoán

Femoral hernia, while less common than its inguinal counterpart, presents a significant clinical challenge due to its high propensity for serious complications such as strangulation and bowel ischemia, particularly in elderly women. Its often subtle presentation and potential for misdiagnosis necessitate robust diagnostic approaches. This report underscores the pivotal role of advanced imaging modalities, specifically computed tomography (CT), in achieving an accurate and timely diagnosis. By offering detailed anatomical insights and enabling differentiation from other groin pathologies like inguinal hernia, CT facilitates prompt and effective management, thereby improving patient outcomes and reducing morbidity associated with this often-overlooked condition.

Medical professionals including radiologists, general surgeons, and emergency physicians, along with medical students and researchers in diagnostic imaging and abdominal pathologies.

Femoral hernia is an infrequent yet critical type of abdominal wall hernia, characterized by a substantial risk of complications, including incarceration, bowel obstruction, and necrosis, primarily due to the narrow neck of the hernia sac. Unlike the more common inguinal hernia, femoral hernias are often misdiagnosed or overlooked in clinical examination, especially in older female patients, necessitating precise diagnostic tools. This academic report highlights the indispensable contribution of computed tomography (CT) in the accurate diagnosis and management of femoral hernias. CT proves superior in distinguishing femoral from inguinal hernias by identifying key anatomical markers, such as the hernia sac's location lateral to the pubic tubercle and the presence of femoral vein compression. Furthermore, CT is crucial for early detection of complications like strangulation and bowel ischemia, which are prevalent in femoral hernias. The presented clinical case exemplifies CT's decisive role in diagnosing small bowel obstruction secondary to an incarcerated femoral hernia, guiding immediate surgical intervention. This capability is vital for pre-operative planning, allowing clinicians to assess the extent of the pathology and potential complications, thereby facilitating timely and appropriate treatment strategies. The implications extend to enhancing diagnostic accuracy and improving prognoses for patients with this high-risk condition.