Femoral hernia

Case contributed by Dr Maulik S Patel

Presentation

Left sided hernia repair 15 years ago. Complaining of left inguinal swelling - acute onset (developed overnight).

Patient Data

Age: 78 years
Gender: Male
Ultrasound

Small bowel noted in hernia with surrounding fluid. Vascularity was preserved in herniated segment. Hernia neck - 4 mm. Intraperitoneal segment of small bowel shows wall thickening - 5 mm. No dilatation of small bowel loops in abdomen.

Case Discussion

The patient was taken to theatre and a femoral hernia was diagnosed (thought to be an inguinal hernia on the pre-operative ultrasound). Part of bowel wall was in the sac. Because the surgeon had doubt about origin of hernia, the incision was made directly over the site of swelling.

PlayAdd to Share

Case information

rID: 10124
Case created: 2nd Jul 2010
Last edited: 18th Nov 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.