Strangulated femoral hernia
Diagnosis certain
Disclosures
- updated 11 May 2022:
Nothing to disclose
Updates to Case Attributes
Status
changed from pending review to published (public).
Published At
was set to
.
Age
changed from 38 to 40 years.
Presentation
was changed:
Patient who comes to the emergency department due to pain in the right iliac fossa of less than 24 hours of duration.
Body
was changed:
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 differnciate betweendifferentiate from inguinal hernias. ThisThis hernia can be differentiated from an inguinal hernia by:
-
Originorigin below the inferior epigastric artery -
Femoralfemoral vein compression - hernial sac is lateral to the pubic tubercle
The patient underwent surgery, confirming the diagnosis.
-<p>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.</p><p>Femoral hernias are difficult to differnciate between inguinal hernias. This hernia can be differentiated from an inguinal hernia by:</p><ul>-<li>Origin below the inferior epigastric artery</li>-<li>Femoral vein compression</li>- +<p>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.</p><p>Femoral hernias are difficult to differentiate from inguinal hernias. This hernia can be differentiated from an inguinal hernia by:</p><ul>
- +<li>origin below the inferior epigastric artery</li>
- +<li>femoral vein compression</li>
Updates to Study Attributes
Findings
was changed:
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.
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