Strangulated femoral hernia

Case contributed by Dr Neguib Rosado Buenfil

Presentation

Patient who comes to the emergency department due to pain in the right iliac fossa of less than 24 hours of duration.

Patient Data

Age: 40 years
Gender: Female
CT

Right femoral hernia is seen, containing fat and fluid below the origin of the inferior epigastric artery and medial to the femoral vessels. The hernial sac is lateral to the pubic tubercle. 

Fat stranding in the right hernia and adjacent to the sac is suggestive of strangulation.

Case Discussion

Femoral hernia is protrusion of abdominal content through the femoral ring and canal. There are less frequent than inguinal hernias, and are more common in women than in men.

Femoral hernias are difficult to differentiate from inguinal hernias. They can be differentiated from an inguinal hernia by:

  • origin below the inferior epigastric artery
  • femoral vein compression
  • hernial sac is lateral to the pubic tubercle

The patient underwent surgery, confirming the diagnosis.

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