Right Recurrent Femoral Hernia with Left Inguinal Hernia - A Case Report

Introduction:
Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and females, they occur approximately 10 times as frequently in women than in men because of the wider bone structure of the female pelvis³. Femoral hernias develop in the upper part of the thigh near the groin just below the inguinal ligament, where abdominal contents pass through a naturally occurring weakness called the femoral canal. Femoral hernia have the highest rate of incarceration amongst groin hernia, 5%–20%⁵
Case Presentation:
A 68 year old male presented with complaints of right femoral swelling since 3 months and left inguinal swelling since 4 years.
Discussion:
Femoral hernias will commonly present as a small lump in the groin. Whilst a femoral hernia is usually asymptomatic at presentation, due to the anatomy of the femoral canal, around 30% of femoral hernia cases will present as an emergency². It is important to identify the exact location of the lump in the groin in order to decide which type of hernia is present although often, particularly in obese patients, it is not clear.
Conclusion:
All patients with a femoral hernia need surgical intervention, due to the high risk of strangulation⁴.