2014
DOI: 10.4236/ijcm.2014.52013
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Strangulated Femoral Hernia: A Challenging Surgical Vignette —Case Report and Review of Literature

Abstract: 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 femoral hernia in a patient with complicated co morbid medical disorders is presented to highlight the pitfalls in initial … Show more

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Cited by 3 publications
(3 citation statements)
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“…Despite all these measures being taken if the surgeon still encounters difficulty and is just not able to reduce the contents, a lower midline laparotomy is strongly indicated. 6 This will enable safe reduction of contents from above.…”
Section: Discussionmentioning
confidence: 99%
“…Despite all these measures being taken if the surgeon still encounters difficulty and is just not able to reduce the contents, a lower midline laparotomy is strongly indicated. 6 This will enable safe reduction of contents from above.…”
Section: Discussionmentioning
confidence: 99%
“…Clinically overt hernias may be easy to diagnose. However, rare types of hernias such as complicated femoral hernias are at times difficult to diagnose and may pose a surgical dilemma while deciding the cause for obstruction (11,12) .…”
Section: Femoral Herniamentioning
confidence: 99%
“…Therefore it is a safe practice to perform a lower mid line laparotomy. 7 At laparotomy the contents can be reduced safely from within. A critical assessment of viability can be done after reduction of the caecum and appendix.…”
Section: Surgical Approachmentioning
confidence: 99%