Aetiology of femoral hernias revisited: bilateral femoral hernia in a young male (two cases)

Rt Kouchupapy,D Shanahan,S Dias,G Ranganathan

doi:10.1308/003588413x13511609955733

Abstract

Bilateral femoral hernias are less common in men than in women and rare in young adults. Only one case of a bilateral femoral hernia in a young man has been reported in the literature before. Three main theories have been postulated for femoral hernias. The theory that they are an acquired disease is the most accepted due to the common occurrence of such hernias in multiparous women but the theory lacks enough evidence. We report two cases in young men. Anatomical variations in the femoral canal could be the primary aetiological factor in these patients. A unilateral femoral hernia in young men with acquired aetiological factors requires a clinical examination of the opposite side.

Highlights

Femoral hernias are the second most common groin hernias in adults, with an incidence of 2–4%.1 They are more common in women than in men.[2]
A bilateral femoral hernia repair was carried out using a low inguinal (Lockwood) approach
Femoral hernias account for 2% of all hernias in men but they constitute around 24% of all hernias in women.[2]

Summary

Introduction

Femoral hernias are the second most common groin hernias in adults, with an incidence of 2–4%.1 They are more common in women than in men.[2]. A 24-year-old man working as a hospital porter was seen in the accident and emergency department with a 1-day history of right groin swelling associated with discomfort and pain. A femoral hernia repair was performed using the low approach (Lockwood’s operation).

Results

Conclusion