c l i n i c a l f o l i o s : n a r r a t i v e





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Femoral Hernia: 1

A D V E R T I S E M E N T

   

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A 24-year-old man presented with a painless left inguinal bulge that had been present for one month. On examination the bulge was along the inguinal canal and was not reducible. The patient had no obstructive symptoms. The patient was taken to the operating room with a probable diagnosis of hydrocele of the cord. On exposing the external oblique aponeurosis, the bulge was seen to originate below the inguinal ligament and there was no bulge in the inguinal canal. Fascia lata covering the bulge was opened and the femoral hernia sac was dissected free (lateral is top of image).   

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Femoral Hernia: 2

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A close-up of the femoral hernia is shown. (for femoral canal anatomy, see femoral hernia anatomy and repair and sigmoid in a femoral hernia.)      

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Femoral Hernia: 3

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The mobilized sac is shown. The outer covering consists of splayed out femoral sheath. Beneath the femoral sheath is a layer of preperitoneal fat covering the hernia sac.     

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This page was last modified on 10/22/2007.