Abstract
Perforation of a Littre heruia into the thigh, leading to gangrenous cellulitis, thrombophlebitis and pulmonary embolization is a condition rarely described in current surgical literature. A long Gibson incision is ideally suited not only to obtain adequate extra-peritoneal exposure of and the proper dealing with the iliac veins, but also to the simultaneous exposure and treatment of the hernia transperitoneally. Through this incision it is possible to carry out necessary procedures to close the intestinal perforation and to restore bowel continuity, without incurring the risk of wound contamination from an adjacent area of infection, namely the thigh. The administration of massive doses of streptomycin and penicillin is of inestimable value in the post-surgical management of this variety of complicated femoral hernia.
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