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March 17, 2026CureusOpen Access

Bilateral Inguinal Hernia With Psoas Muscle Involvement: A Case Report and Literature Review

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Authors

MVMiguel Sánchez VelázquezOSOlga L Hernández SosaAMAna Jiménez Martínez

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Overview

Case report reveals unexpected bilateral inguinal hernia involving psoas muscle, suggesting diagnostic challenges.

Key Points

  • This case aims to highlight a rare occurrence of bilateral inguinal hernia involving the psoas muscle and discuss its implications for diagnosis and treatment.
  • Reported a case of an 86-year-old woman with persistent inguinofemoral pain.
  • Underwent elective laparoscopic transabdominal preperitoneal repair.
  • Performed intraoperative exploration revealing deep hernia tract and preperitoneal fat protrusion.
  • Completed procedure with bilateral mesh reinforcement.
  • On follow-up, patient remained asymptomatic with no recurrence.
  • Confirmed atypical presentation emphasizing the importance of thorough surgical assessment.
  • Identified retroperitoneal extension to prevent potential neurovascular injury.

Cite This Study

Velázquez et al. (2026) studied this question.

synapsesocial.com/papers/69b8ef12deb47d591b8c5259https://doi.org/10.7759/cureus.105240
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