Bilateral Strangulated Femoral Hernia

Jones, J. D. T.

doi:10.1136/bmj.1.4244.583

Cited by 3 publications

(5 citation statements)

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“…The presence of the bilateral femoral hernia is extremely rare since only a few cases are documented in the literature [ 1 , 2 , 4 ], with minor reports of male patients [ 3 , 4 ]. Furthermore, bilateral strangulation is documented only for a female patient [ 3 , 5 ]. To our knowledge, the present case is the first reported case of a male patient presenting with simultaneously strangulated bilateral femoral hernia with strangulation of the sigmoid colon and the ileum.…”

Section: Discussionmentioning

confidence: 99%

“…Femoral hernias are prone to strangulation because of the rigid femoral ring and the narrow femoral canal [ 3 ]. However, there are only two cases of bilateral strangulated femoral hernias, and these occur solely in females [ 4 , 5 ]. To our knowledge, in the present manuscript, a bilateral strangulated femoral hernia in a male patient is reported for the first time in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Intestinal necrosis and sigmoid colon obstruction due to bilateral strangulated femoral hernia in a male: a rare surgical and anatomic case report

Zarokosta

Paraskevas

Chrysanthou

et al. 2021

Journal of Surgical Case Reports

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Bilateral femoral hernia is a peculiar clinical condition, with female predominance, with only a few cases reported in the literature. There are only two cases of bilateral strangulated femoral hernias, and these occur solely in females. To our knowledge, in the present manuscript, a bilateral strangulated femoral hernia in a male patient is reported for the first time. A 68-year-old male proceeded to the emergency department of our institution with symptoms of bowel obstruction. Abdominal computed tomography, magnetic resonance imaging and subsequent emergency laparotomy revealed obstruction of the sigmoid colon and simultaneous necrosis of several loops of the small intestine due to bilateral strangulated femoral hernia. The operation was uneventful. Despite the scarcity of this clinical condition, surgeons’ awareness is fundamental, in addition to deep knowledge of the pathology and the anatomy of femoral hernias, in order to diagnose and treat adequately strangulated and incarcerated femoral hernias.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intestinal necrosis and sigmoid colon obstruction due to bilateral strangulated femoral hernia in a male: a rare surgical and anatomic case report

Zarokosta

Paraskevas

Chrysanthou

et al. 2021

Journal of Surgical Case Reports

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“…Rogers 5 reported a review on 170 cases of strangulated femoral hernia and its complications. Two study report strangulated bilateral femoral hernia [6,7] This hernia could include: stomach, omentum, colon, small intestines (the partially strangulated small intestine wall called Richter's hernia), the appendix (De Garengeot hernia) 9 , urinary bladder, fallopian tube and ectopic testis 8 . The differential diagnosis of femoral hernia includes inguinal lymph nodes, direct and indirect inguinal hernia, and hydrocele of the cord or canal of Nuck, the greatest saphenous vein varices, femoral artery aneurysm, ectopic testis and psoas abscess 10 .…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Obstruction Secondary to Femoral Hernia: Case Report and Review of the Literature

Kumar¹

2018

jmscr

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Femoral hernias account for 3% of groin hernias, and are more common in women, and are more appropriate to present with strangulation and require emergency surgery. Approximately 50% of men with a femoral hernia will have an associated inguinal hernia whereas this relationship occurs in only 2% of women. In this article we report a case of strangulated femoral hernia that presented with features of small bowel obstruction and underwent emergency laprotomy and resection and end to end anastomosis and hernia repair. Postoperative course was uneventful and the patient was doing well. Strangulated femoral hernia of small bowel is rare.

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“…Bilateral femoral hernias are very rare occurrence. We have found just over a dozen reported cases of bilateral femoral hernia in the literature with only one reported case of bilateral strangulated hernia [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Our case provides evidence for the very rare occurrence of bilateral strangulated femoral hernia. There has been one published case report since 1942 of this phenomenon [ 6 ]. We also highlight the need to examine for hernias in patients presenting with abdominal pain and signs of obstruction.…”

Section: Introductionmentioning

confidence: 99%

Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias

Nikolopoulos

Oderuth

Ntakomyti

et al. 2014

Case Reports in Surgery

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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.

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Bilateral Strangulated Femoral Hernia

Cited by 3 publications

References 0 publications

Intestinal necrosis and sigmoid colon obstruction due to bilateral strangulated femoral hernia in a male: a rare surgical and anatomic case report

Intestinal necrosis and sigmoid colon obstruction due to bilateral strangulated femoral hernia in a male: a rare surgical and anatomic case report

Small Bowel Obstruction Secondary to Femoral Hernia: Case Report and Review of the Literature

Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias

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