Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias

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 bilat...

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Main Authors: Ioannis Nikolopoulos, Eshan Oderuth, Eleni Ntakomyti, Bengt Kald
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2014/195736
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author Ioannis Nikolopoulos
Eshan Oderuth
Eleni Ntakomyti
Bengt Kald
author_facet Ioannis Nikolopoulos
Eshan Oderuth
Eleni Ntakomyti
Bengt Kald
author_sort Ioannis Nikolopoulos
collection DOAJ
description 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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spelling doaj-art-e15b76826f74439abf2d038d92bb7dc42025-02-03T01:27:35ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/195736195736Intestinal Obstruction due to Bilateral Strangulated Femoral HerniasIoannis Nikolopoulos0Eshan Oderuth1Eleni Ntakomyti2Bengt Kald3General Surgery, Lewisham and Greenwich NHS Trust, London SE18 6SY, UKGeneral Surgery, Lewisham and Greenwich NHS Trust, London SE18 6SY, UKGeneral Surgery, Lewisham and Greenwich NHS Trust, London SE18 6SY, UKGeneral and Breast Surgery, Lewisham and Greenwich NHS Trust, London SE18 4QH, UKIntroduction. 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.http://dx.doi.org/10.1155/2014/195736
spellingShingle Ioannis Nikolopoulos
Eshan Oderuth
Eleni Ntakomyti
Bengt Kald
Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias
Case Reports in Surgery
title Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias
title_full Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias
title_fullStr Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias
title_full_unstemmed Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias
title_short Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias
title_sort intestinal obstruction due to bilateral strangulated femoral hernias
url http://dx.doi.org/10.1155/2014/195736
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AT eshanoderuth intestinalobstructionduetobilateralstrangulatedfemoralhernias
AT elenintakomyti intestinalobstructionduetobilateralstrangulatedfemoralhernias
AT bengtkald intestinalobstructionduetobilateralstrangulatedfemoralhernias