Abstract
Introduction. Femoral hernias are at high risk of strangulation due to the narrow femoral canal and femoral ring. This can lead to symptoms of obstruction or strangulation requiring emergency surgery and possible bowel resection. To our knowledge, there is only one previous published report of bilateral strangulated femoral hernia. We present our case of this phenomenon. Case Report. An 86-year-old woman presented with symptoms of small bowel obstruction. Examination revealed two tender lumps in the area of the femoral triangle. CT scan revealed bilateral femoral hernias. Both hernias were repaired and a small bowel resection on the right side was performed with side to side anastomosis. She made an uneventful recovery. Conclusion. Bilateral femoral hernias are a rare occurrence with only one reported case of bilateral strangulation. Our case highlights the importance of meticulous history taking and clinical examination as any delay in diagnosis will increase the risk of mortality and morbidity for the patient. Hernias should always be considered as a cause if one presents with symptoms of abdominal pain or obstruction.
Highlights
Femoral hernias are at high risk of strangulation due to the narrow femoral canal and femoral ring
A femoral hernia is a protrusion of a viscous through the femoral canal due to a defect in the femoral ring
Femoral hernias descend through the femoral ring femoral canal and exit via the saphenous opening
Summary
A femoral hernia is a protrusion of a viscous through the femoral canal due to a defect in the femoral ring. It is the third commonest hernia with 20% occurring in females compared to 5% in men. The femoral ring is bounded anteriorly by the inguinal ligament, posteriorly by the iliopectineal ligament, medially by the lacunar ligament, and laterally by the femoral vein. They are the most likely to become strangulated due to the narrow femoral canal and rigid femoral ring. We highlight the need to examine for hernias in patients presenting with abdominal pain and signs of obstruction
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