Small bowel obstruction due to incarceration in femoral hernia

Case contributed by Dr Vikas Shah

Presentation

Two days of increasing abdominal pain, distension and now vomiting.

Patient Data

Age: 75 years
Gender: Male

There is an acute high grade small bowel obstruction. A funnel-shaped hernia sac containing a knuckle of small bowel protrudes posterior to the inguinal ligament into the right femoral space, with some compression of the femoral vein.

No signs of perforation or bowel ischaemia.

Case Discussion

Feedback from surgery confirmed incarceration of the small bowel within a right femoral hernia. The hernia was successfully reduced and the small bowel was not ischaemic.

These herniae are less common in men than women, but do tend to favour the right side.

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Case Information

rID: 51813
Case created: 8th Mar 2017
Last edited: 11th Mar 2017
Inclusion in quiz mode: Included

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