Small Bowel Obstruction Secondary to Femoral Hernia
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: 2% to 4% of groin hernias are femoral hernias. They are more common in females. They usually present in emergency department when get strangulated and require emergency surgery. This presents with symptoms of bowel obstruction and usually surgical treatment with bowel resection-anastomosis is required. There are only few reports of strangulated femoral hernia. Case report: We herein present a 68 year old lady who presented with a 3-day history of abdominal pain, nausea and vomiting. On examination, the patient had a generalized tenderness and distention with swelling of size 3×2cm over right side of groin. The working diagnosis at this time was a small bowel obstruction. Laparotomy was done and herniated contents small bowel reduced from swelling through opening occurring medial to femoral vessels and below the inguinal ligament. Hernia was repaired. The postoperative course was uneventful. The patient was followed up for 12-months without any complaints. Conclusion: Obstructed femoral hernia is a rare cause of bowel obstruction. Surgeons should suspect this as one of the causes of acute bowel obstruction in emergency.
Authors and Affiliations
Mukesh Kumar, K. K. Sinha, Rajeev Ranjan
Keywords
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