Strangulated fat-containing femoral hernia

Case contributed by Dr Michael P Hartung

Presentation

Right groin pain

Patient Data

Age: 65 years
Gender: Female

Right femoral hernia containing fat, swirling fluid, and surrounding stranding/inflammation. The hernia sac is noted to arise below the origin of the inferior epigastric vasculature, and the hernia compresses the femoral vein medially. Left inguinal herniorrhaphy.

Case Discussion

  • femoral hernia = caudal to the origin of the inferior epigastric vessels, often compresses the femoral vein.
  • direct inguinal hernia = medial to the inferior epigastric vessels.
  • indirect inguinal hernia = lateral and superior to the inferior epigastric vessels.

In this case, the hernia sac arises below the origin of the inferior epigastric artery, and the hernia sac compresses the femoral vein (compare it to the normal right). 

Strangulation is likely due to the patient's pain and presence of fluid/inflammation within and surrounding the hernia sac. 

PlayAdd to Share

Case information

rID: 59553
Published: 14th Apr 2018
Last edited: 25th Jul 2018
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.