Strangulated (hernia)

Last revised by Dr Mostafa El-Feky on 20 Mar 2022

Strangulated in the context of hernias refers to an incarcerated hernia in which the hernial opening is so constricted that the arterial supply is compromised, leading to ischemia and eventually gangrene. It is a surgical emergency. Although strangulated bowel is also often obstructed, this is not always the case.

The most common groin hernia that can be strangulated is the femoral hernia because it has a narrow neck 2

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Cases and figures

  • Case 1: para-umbilical hernia (ultrasound)
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  • Case 2: paraumbilical hernia
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  • Case 3: fat-containing femoral hernia
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