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Case Report
Pantaloon hernia in a female
1 Junior Resident, General Surgery, Pt. BDS PGIMS, Rohtak, Haryana, India
2 Professor, General Surgery, Pt. BDS PGIMS, Rohtak, Haryana, India
3 Senior Resident, General Surgery, Pt. BDS PGIMS, Rohtak, Haryana, India
Address correspondence to:
Nikhil Tayal
House No. 214, Sector 4, Rohtak, Haryana 124001,
India
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Article ID: 100058Z12NT2019
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Tayal N, Ranga HR, Ahari PK, Beniwal M, Mishra VK, Dhanda P. Pantaloon hernia in a female. J Case Rep Images Surg 2019;5:100058Z12NT2019.ABSTRACT
Introduction: The word ‘hernia’ is derived from a Latin term meaning ‘rupture’. Direct hernias are rare in females because of strong transverses abdominis muscle. Pantaloon hernia (combined direct and indirect) is even rarer.
Case Report: A 42-year-old female presented to us with chief complaint of swelling in left groin. Intraoperatively, both direct and indirect sacs were found. Indirect sac was having omentum as content. Lichtenstein repair was done.
Conclusion: All inguinal hernias in females occur as indirect protrusions. Because of the stress of childbearing, the transversalis fascia is stronger in the floor of the inguinal canal and hence has protective effect; so direct hernia in females is unusual. Pantaloon hernia is treated as any other inguinal hernia and options of open and laparoscopic repairs including TAPP (Trans- Abdominal Pre-Peritoneal Repair) and TEP (Total Extra-Peritoneal Repair) are available depending on the surgical expertise and other cost factors.
Keywords: Female, Hernia, Lichtenstein Repair, Pantaloon
SUPPORTING INFORMATION
Author Contributions
Hans Raj Ranga - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Nikhil Tayal - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Pranay Kumar Ahari - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Meenu Beniwal - Interpretation of data, Drafting the article, Final approval of the version to be published
Vineet Kumar Mishra - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Poonam Dhanda - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Nikhil Tayal et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
