Hesselbach’s hernia

Case contributed by Ayush Goel
Diagnosis certain

Presentation

History of treated retroperitoneal liposarcoma. Now presented with lump in left inguinal/thigh region.

Patient Data

Age: 65 years
Gender: Male
ct

Fatty tissue herniation through the lacuna musculorum, seen arising postero-lateral to the left iliac/femoral vessels displacing the iliacus and sartorius laterally.

Case Discussion

The findings are consistent with fatty herniation lateral to the femoral vessels. This has been termed as Hesselbach’s hernia or external femoral hernia.

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