Femoral Hernia Following Inguinal Lymphadenectomy: A Rare Complication
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Inguinal lymph node dissection is a common procedure performed as part of nodal staging for malignancies of external genitalia and skin below umbilicus. Inguinal lymphadenectomy alone or combined with iliac lymphadenectomy is associated with increased frequency of complications, up to 80%, often requiring prolonged hospitalization. The common complications include wound infection, seroma, lymphorrhea and lymphedema. We encountered an unusual case of femoral hernia following inguinal lymphadenectomy, a complication very rarely reported in the literature.
A 52-year-old postmenopausal lady presented with progressively increasing, painful, ulcerative lesion involving the vulva. On clinical examination, there was a 3 × 4 cm ulcer, involving and limited to right labia majora. She had no palpable inguinal nodes. Biopsy of the lesion showed vulvar intraepithelial neoplasia (VIN grade III) with small focus of suspicious superficial invasion. With a clinical diagnosis of...
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The authors declare that they have no conflict of interest.
- 6.Ray MD, Jakhetiya A, Kumar S, Mishra A, Singh S, Shukla NK. Minimizing post-operative complications of groin dissection using modified skin bridge technique: a single-centre descriptive study showing post-operative and early oncological outcomes. World J Surg. 2018;42(10):3196–201.CrossRefGoogle Scholar
- 8.Muus Steffensen S, Ahm Sørensen J. Femoral hernia. A rare complication following deep inguinal lymph node dissection. BMJ Case Rep 2015;2015. https://doi.org/10.1136/bcr-2014-20817.