Small bowel obstruction due to entrapment in femoral hernia

Case contributed by Dr Vikas Shah

Presentation

Left groin swelling. Abdominal pain and vomiting.

Patient Data

Age: 65 years
Gender: Female

Acute high grade small bowel obstruction with transition point at left groin hernia. This has a narrow neck, a funnel shape, lies medial to the femoral vessels with some compressive effect on the femoral vein and passes deep to the inguinal ligament, consistent with a femoral hernia.

Case Discussion

A femoral hernia causing small bowel obstruction was confirmed at surgery, with reduction and closure of the hernia performed. No small bowel resection was necessary.

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