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VOLUME 04 ISSUE 11 NOVEMBER 2021

Right Recurrent Femoral Hernia with Left Inguinal Hernia - A Case Report
1Dr. D. B. Choksi, 2Dr. Karimireddy Jahnavi , 3Dr. Digant Patel, 4Dr. Jagrut Patel,5 Dr. Rutul Shah, 6Dr.Sijoy Varughese
1,2,3,4,5,6 Department of General Surgery, M.S. University Vadodara, Gujarat, India
DOI : https://doi.org/10.47191/ijmra/v4-i11-09

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ABSTRACT:


Introduction:
Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and females, they occur approximately 10 times as frequently in women than in men because of the wider bone structure of the female pelvis³. Femoral hernias develop in the upper part of the thigh near the groin just below the inguinal ligament, where abdominal contents pass through a naturally occurring weakness called the femoral canal. Femoral hernia have the highest rate of incarceration amongst groin hernia, 5%–20%⁵
Case Presentation:
A 68 year old male presented with complaints of right femoral swelling since 3 months and left inguinal swelling since 4 years.
Discussion:
Femoral hernias will commonly present as a small lump in the groin. Whilst a femoral hernia is usually asymptomatic at presentation, due to the anatomy of the femoral canal, around 30% of femoral hernia cases will present as an emergency². It is important to identify the exact location of the lump in the groin in order to decide which type of hernia is present although often, particularly in obese patients, it is not clear.
Conclusion:
All patients with a femoral hernia need surgical intervention, due to the high risk of strangulation⁴.

Keywords

Femoral hernia, groin, inguinal hernia, strangulation

REFERENCES

1) Iswanto Sucandy and Jeffrey W Kolff: Incarcerated Femoral Hernia in Men: Incidence, Diagnosis, and Surgical Management, N Am J Med Sci. 2012 Nov; 4(11): 617–618., doi: 10.4103/1947-2714.103343, PMCID: PMC3503390, PMID: 23181243

2) Aloysius Ugwu-Olisa Ogbuanya, Fabian Ugonna Olisa, Richard Lawrence Ewah, Obinna Nweke, Nonyelum Benedett Ugwu: Femoral Hernia: Epidemiology and challenges of management in a sub-saharan African Country, http://nepjol.info/index.php/AJMS, DOI: 10.3126/ajms.v11i6.30368, E-ISSN: 2091-0576.

3) Tsuchiya Y, Momose H, Kure K, Ro H, Takahashi R, Okazawa Y, Kawai: Case of Incarcerated Femoral Hernia Treated with Laparoscopic Surgery after Groin Hernia Repair, Case Rep Gastroenterol 2021;15:35–40, E-ISSN: 1662-0631, https://doi.org/10.1159/000509950.

4) N C Gallegos, J Dawson, M Jarvis, M Hobsley: Risk of strangulation in groin hernias, British Journal of Surgery, Volume 78, Issue 10, October 1991, Pages 1171–1173, https://doi.org/10.1002/bjs.1800781007

5) Sudeendra Doddi, Vishal Sagar, Tarun Singhal, Santosh Balakrishnan, Frank Smedley, and Prakash Sinha: Femoral Hernia with a Twist, Volume 2010 |Article ID 650829 https://doi.org/10.1155/2010/650829

6) Majid Akrami, Mohamamd Yasin Karami, Vahid Zangouri, Iman Deilami, and Mehrnoush Maalhagh: Small Bowel Obstruction Secondary to Femoral Hernia; Case Report and Review of the Literature, Bull Emerg Trauma. 2016 Jan; 4(1): 51–53, PMCID: PMC4779471, PMID: 27162928.

VOLUME 04 ISSUE 11 NOVEMBER 2021

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