Small bowel obstruction secondary to incarcerated femoral hernia

Case contributed by Dr Henry Knipe

Presentation

Left iliac fossa pain. Past history of diverticular disease.

Patient Data

Age: 70
Gender: Female

Small bowel obstruction secondary to left femoral hernia. The loop that is within the hernia is thickened but normally enhancing walls.

Perihepatic and left paracolic gutter free fluid. No free gas.

Extensive colonic diverticula disease. Within liver segment six and four are subcentimetre hypodensities which are too small to characterise. 

Conclusion:

Small bowel obstruction secondary to left femoral hernia. Evidence of early ischaemia within the entrapped small bowel loop.

Case Discussion

This is an example of an incarcerated femoral hernia resulting in a small bowel obstruction with early ischaemic changes of the incarcerated loop. This hernia can be differentiated from an inguinal hernia because its origin is below that of the inferior epigastric vessels and it lies as a close medial relation of the femoral vein. 

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Case information

rID: 27729
Case created: 16th Feb 2014
Last edited: 13th Mar 2016
Inclusion in quiz mode: Included

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