Small bowel obstruction secondary to femoral hernia

Case contributed by P T
Diagnosis certain


Severe right sided abdominal pain with accompanying nausea and vomiting for 1 day.

Patient Data

Age: 85
Gender: Female

Incarcerated right femoral hernia causing a distal small bowel obstruction. There is adjacent free fluid noted.   

Some of the proximal small bowel is thickened suggesting possible early ischemia. No evidence of pneumatosis intestinalis.  

Infrarenal abdominal aortic aneurysm with mural thrombus, measuring 4.9 cm in axial dimension.

Case Discussion

A case of incarcerated femoral hernia resulting in small bowel obstruction.

Some parts of the dilated loops of small bowel walls were thickened possibly as a result of early ischemia. The femoral hernia is located below the inguinal ligament.

On CT, the femoral hernia sac is lateral to the pubic tubercle differentiating it from inguinal hernia which is located medial the pubic tubercle. 

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