Case of Strangulated Femoral Hernia--Operation

Strangulated femoral hernia containing a perforated appendix.

' 2004 Canadian Medical Association A 27 000 cases of femoral hernia occur yearly in the USA, accounting for 3% of all hernias. The hernial sac may contain preperitoneal fat, omentum, small bowel or colon and, rarely, the appendix, reported to occur in 0.8% of femoral hernias. To date, only 12 cases of perforated appendicitis in a femoral hernia have been documented, none in the past 13 years. ...

Strangulated femoral hernia: the clinical trap.

Sir, We read with interest the paper by Heys and Brittenden on 'Strangulated femoral hernia: the persisting clinical trap'.' We have had 4 similar cases in the last year. A 57 year old woman with a known history of inflammatory bowel disease presented to the medical ward with abdominal pain and vomiting. Examination and abdominal X-rays were consistent with small bowel obstruction. However, the...

Rapid Recovery after Operation for Strangulated Hernia

Strangulated Femoral Hernia: A Challenging Surgical Vignette

External hernia is one of the commonest causes of intestinal obstruction. Femoral hernia is a relatively uncommon hernia. It has a very high complication rate due to delayed diagnosis caused by deceptive symptomatology and subtle signs. CT scan enables a prompt diagnosis. Rigorous resuscitation followed by prompt surgical intervention is the mainstay of treatment. A case of a strangulated femor...

Strangulated femoral hernia: the persisting clinical trap.

Five cases of strangulated femoral hernia, all with a delay in establishing the diagnosis, are reported here. These cases illustrate the continuing difficulties experienced, both in primary care and hospital practice, in making this diagnosis despite the clinical awareness of this condition.