Presentation
Right groin pain
Patient Data
Age: 65 years
Gender: Female
From the case:
Strangulated fat-containing femoral hernia
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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.