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-i11-09Google Scholar Download Pdf
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.
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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