Abstract
Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and females, they occur approximately 10 times as frequently in women than in men because of the wider bone structure of the female pelvis³. Femoral hernias develop in the upper part of the thigh near the groin just below the inguinal ligament, where abdominal contents pass through a naturally occurring weakness called the femoral canal. Femoral hernia have the highest rate of incarceration amongst groin hernia, 5%–20%⁵
Highlights
On Ziemann 3 finger test, cough impulse was present at saphenous opening at right side and superficial inguinal ring at left side
The femoral canal is the medial of the three compartments of the femoral sheath which is formed by a prolongation into the thigh of the fasia transversalis and of the fasia iliacus.The lateral compartment of the sheath contains the femoral artery and the intermediate one the femoral vein Femoral canal lying within the femoral sheath is widest at its abdominal end which is femoral ring, called internal orifice. lt consists of lymph nodes, fat and lymphatic vessels
Complications that can result from femoral hernias include: Obstruction where part of the bowel can become stuck in the femoral canal resulting in nausea and pain, Strangulation where the stuck section of bowel has its blood supply cut off, which required immediate surgical attention so that blood supply is restored and the tissue doesn’t die[2]
Summary
Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. Femoral hernias develop in the upper part of the thigh near the groin just below the inguinal ligament, where abdominal contents pass through a naturally occurring weakness called the femoral canal. It is important to identify the exact location of the lump in the groin in order to decide which type of hernia is present often, in obese patients, it is not clear. Femoral hernias occur just below the inguinal ligament, when abdominal contents pass through a naturally occurring weakness in the abdominal wall called the femoral canal.While femoral hernias can occur in both males and females, almost all develop in women due to the increased width of the female pelvis[2]. Femoral hernias are the commonest missed signs of importance by both patient and clinician
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