Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The first case of endometriosis of the femoral vein presenting as a femoral hernia is reported. Histogenesis and sites of extragenital endometriosis are briefly reviewed.
 ...
PMID:Endometriosis involving the femoral vein. 84 77

The fine needle aspiration (FNA) biopsy findings of endometriosis is an inguinal crural hernia in a 40-year-old woman are presented. The cytologic findings were similar to those previously reported in aspirates of solid endometriosis in other sites: nonatypical, small, epithelial groups in an inflammatory and proteinaceous background. The cytologic diagnosis of a benign epithelial lesion, possibly endometriosis, was confirmed by histologic study of the extirpated mass. This case shows that endometriosis must be included in the differential diagnosis of FNA samples of palpable lesions of the groin in women of reproductive age.
 ...
PMID:Endometriosis in an inguinal crural hernia. Diagnosis by fine needle aspiration biopsy. 171 Apr 7

Sex cord tumor with annular tubules (SCTAT) is a distinctive ovarian sex cord-stromal tumor. The authors describe a case of SCTAT arising outside the ovaries, in the fallopian tube. The authors are aware of only one other case of extra-ovarian SCTAT, in an umbilical hernia sac in an adult woman. The case reported was an incidental finding in a hysterectomy specimen, obtained because of carcinoma in situ of the uterine cervix in a 32-year-old woman. The patient is alive and disease-free two years after surgery. The 1-cm tumor in the right fallopian tube was composed of typical ring-shaped tubules encircling hyalinized basement membrane-like material. In addition, glands and stroma of endometriosis were intimately admixed with the nests of tumor. The implications of these findings for the origin of SCTAT and ovarian sex cord structures are discussed.
 ...
PMID:Sex cord tumor with annular tubules associated with endometriosis of the fallopian tube. 186 80

In six women with a preoperative diagnosis of incarcerated hernia, surgical exploration of the groin revealed inguinal endometriosis and no hernia. The affected structure was always the extraperitoneal portion of the round ligament. Six of the seven lesions were on the right. Intraperitoneal endometriosis was demonstrated in all patients. Catamenial pain was the pathognomonic symptom in the differential diagnosis of the inguinal mass. Gynecologists and surgeons should bear in mind the possibility that endometriosis may be the cause of symptoms of a suspected incarcerated inguinal hernia. Should this disease be detected at inguinal exploration, a laparoscopy is indicated during the same operation.
 ...
PMID:Inguinal endometriosis: pathogenetic and clinical implications. 206 61

3 unusual late complications of laparoscopic sterilization, previously unreported, are described. The 1st woman had a laparoscopic sterilization by placement of 4 Filshie clips 2 years before. She was admitted with fever, tenderness in the right iliac fossa, but a normal pelvic examination. Laparotomy revealed appendicitis, with a Filshie clip within the lumen, associated with transmural inflammation distal to the clip. 2 clips were located, 1 on each tube, on x-ray. The remaining clip was not seen. The 2nd case was a 30-year old woman who had been sterilized 3 days before, with intestinal obstruction caused by prolapse of a loop of distal ileum through a defect in the broad ligament. The 3rd woman, who had been sterilized a year ago at age 36, described tender swelling below the umbilicus that became painful during menses. The lesion, thought to be a paraumbilical hernia, was a solid nodule of typical endometrial glands and stroma with a fibrous scar. While endometriosis in the umbilical skin has been observed in a surgical scar, none have been reported after laparoscopy. It would be wise not to perform laparoscopy during menstruation.
 ...
PMID:Uncommon complications of laparoscopic sterilisation. 214 62

Endometriosis is a common gynecologic diagnosis. Typical complaints of patients with pelvic endometriosis include dysmenorrhea, menstrual irregularities, dyspareunia, and infertility. Endometriosis may also occur in extrapelvic sites and cause unusual symptoms and diagnostic dilemmas. Endometriosis has been described in the inguinal region, and this is illustrated in the first case history. The tender inguinal masses often fluctuate with the menstrual cycle but the condition initially may be confused with an inguinal hernia. Treatment is surgical. Abdominal wall scar endometriosis, seen in the second case, has been described in patients after a wide variety of gynecologic procedures. This also is initially noted as a tender mass, usually fluctuating with menstruation, and is often confused with an incisional hernia. Again, surgery is the treatment of choice. Pathologic features of endometriosis are constant, regardless of location. Microscopically, endometrial glands and stroma, fibrosis, chronic inflammation, and old hemorrhage are seen. Familiarity with the unusual types of endometriosis is important to the general surgeon.
 ...
PMID:Extrapelvic endometriosis presenting as a hernia: clinical reports and review of the literature. 264 94

Presented is the case of a patient with inguinal endometriosis adjacent to a hernia sac in whom laparoscopy revealed no evidence of pelvic endometriosis.
 ...
PMID:Isolated endometriosis in an inguinal hernia. 316 31

Obturator hernias are relatively rare. In the past 15 years at the Mayo Clinic, eight patients underwent nine operations for repair of 11 obturator hernias, which represented 0.073 per cent (11 of 15,098) of all hernias repaired at this institution. Elderly women with chronic disease were most frequently affected. Symptoms were usually intermittent; mechanical small intestinal obstruction was the most common presenting condition, followed by pain in the thigh or groin area. The Howship-Romberg sign was found in only two patients, and a correct preoperative diagnosis was made in only one patient. Midline abdominal incisions were made in all patients. Incarcerated ileum was the most frequently encountered organ in the hernia sac. Surprisingly, foci of endometriosis in the obturator defect accounted for symptoms in two patients with three obturator hernias. Right-sided obturator hernias outnumbered left, and bilateral obturator hernias were found synchronously in two instances and metachronously in one instance. The often debilitated state of the patients with obturator hernia and the frequent delay of diagnosis combined to produce significant operative morbidity and mortality rates.
 ...
PMID:Obturator hernia. 341 51

Patch repair using a PTFE prosthesis was performed in 111 patients over a 5-year period for treatment of incisional hernias (64 cases), inguinal hernias (41 cases, including 29 recurrences), umbilical hernias (4 cases), epigastric hernias (2 cases), lumbar hernias (1 case) and abdominal wall defects after resection for endometriosis (2 cases). The surgical technique was limited to simple patch closure of peritoneomuscular defects without myoplasty. Follow-up was evaluable for every patient and 84 cases have been reviewed clinically by 2 surgeons. 83 patients (86 patches) were followed for at least 1 year (74.8%). Post operative mortality was nil. Morbidity was 17.5% (20 cases, including 14 hematomas, 2 intraperitoneal bleedings, 3 cases of local sepsis, 1 hydrocele). Recurrence rate was 42.2% for incisional hernia repair (27 cases) and 14.6% after inguinal hernia repair. Three out of 4 umbilical hernias and 1 out of 2 epigastric hernias recurred. 14 patients underwent reoperation for recurrent hernia (11 incisional and 3 inguinal). Absence of fibrotic reaction around the PTFE prosthesis was noted in every case and appeared to be the main factor of recurrence. Our experience suggests that patch technique with PTFE prosthesis should be abandoned for the repair of abdominal wall defects.
 ...
PMID:[Failure of the treatment of eventrations and hernias with the PTFE plate (111 cases)]. 773 91

A mass located in a scar area during examination is an infrequent phenomenon. Such a mass can be associated with keloid, hematoma, granuloma, hernia or neoplasm. Two cases of scar endometriosis are reported. The late onset of symptoms after surgery (average 4.5 years) is the usual reason for misdiagnosis. Awareness of this infrequent and late postoperative complication would increase the detection rate. Surgical excision remains the treatment of choice and should be accomplished without complications.
 ...
PMID:Cesarean scar endometriosis. 784 87


1 2 3 4 5 6 7 Next >>