Incarcerated Femoral Hernia Containing Ipsilateral Fallopian Tube

Femoral hernias are more common in women and lead to a substantial higher rate for an emergency operation, due to strangulation. Incarcerated femoral hernia with fallopian tube as a content is an extremely rare condition. A 20-year-old woman presented to the emergency department complaining of a 6-day right groin swelling, which became painful and tender to palpation during the last 48 hours. Preoperative ultrasonography detected an oedematous hernia sac, above the femoral vessels, suggesting the presence of an incarcerated femoral hernia. The patient eventually underwent emergency surgery and the diagnosis of a strangulated femoral hernia sac, containing fallopian tube, was established. No resection of the uterine tube was performed and the hernia was repaired with polypropylene plug. The postoperative period was uneventful and the woman was discharged on the second postoperative day

Uncomplicated intraoperative evaluation of an aberrant bile duct: a case report and review of the literature

The presence of aberrant bile ducts is a significant risk factor for bile duct injuries during cholecystectomy. Identification of such anatomic anomalies of the biliary tree is crucial to prevent iatrogenic biliary injuries. For that purpose many methods, both preoperative and intraoperative, have been described with controversial results. We present a case of an aberrant right hepatic duct that was found during laparoscopic cholecystectomy with the use of intraoperative cholangiography and review the literature

Full- Scale Load Test of Caisson on Chicago Hardpan

The results of a full-scale load test on a belled caisson bearing on hardpan in the downtown Chicago area are presented herein and are discussed in terms of current design practice and the results of other pertinent full-scale tests and a small-scale model test. Current specifications for allowable bearing pressures are shown to be conservative, and previously established settlement limits required to mobilize side resistance are reconfirmed. The settlement measured during the test is in good agreement with that predicted by use of pressuremeter test data. The confinement of the bell in a hard clay layer appears to be beneficial in that it serves to limit the development of major cracking at the base

Ground Response to Sheet Pile Installation in Clay

The effects of sheet pile installation on an adjacent cohesive soil mass are described herein. Observations indicate that driving sheet pile caused pore pressures to double at some locations. These pore pressures extended further than reported in previous studies concerning driven piles. Initially pore pressures rapidly dropped, but dissipation slowed after this initial adjustment. Inclinometer and extensometer data indicate that the clay was laterally displaced up and away from the sheeting causing the ground surface to heave. The impact of this behavior on subsequent stress changes during excavation is discussed

Spermatic cord metastasis presenting as strangulated inguinal hernia – first manifestation of a multifocal colon adenocarcinoma: a case report

Spermatic cord is a rare metastatic site of colorectal cancer. We herein report a case of spermatic cord metastasis of a previous undiagnosed multifocal colon adenocarcinoma, which was clinically presented as a strangulated groin hernia

A variant of the double gallbladder. A possible cause of cholelithiasis?

Congenital duplication of the gallbladder is a rare anatomical malformation, which is usually discovered as an incidental finding during cholecystectomy. We report a case of a double gallbladder in a 45-year-old woman, which was discovered during laparoscopic cholecystectomy for symptomatic cholelithiasis. As it was not possible to identify the anatomical structures safely, the procedure was converted to open cholecystectomy. Inspection of the resected gallbladder showed that it consisted of 2 chambers with separate cystic ducts, which communicated through an ostium. Both chambers contained multiple gallstones. The inadequate drainage of the second chamber could be considered as a predisposing factor for the development of cholelithiasis in this case