Femoral Hernia (Groin Hernia)
Description
A hernia that pushes through the canal containing the femoral artery and vein in the front of the upper thigh. Hernias occur when part of the intestine or abdominal fatty tissue (omentum) pushes through a weak point or tear in the lower abdominal wall. The resulting bulge may be painful and get larger when the patient coughs, bends over, or lifts a heavy object. Severe hernias may cause a blockage of the intestines. If the hernia cannot be pushed back in place by the doctor it is called incarcerated. Some incarcerated hernias block the blood supply to the trapped intestines resulting in a life threatening condition called a strangulated hernia.
Symptoms
Palpable bulge or mass, pain in the affected area, nausea, vomiting. The mass may get bigger with coughing, bending over or lifting a heavy object.
Tests
A history and physical exam will be performed. Other tests include: Imaging studies to diagnose the disorder.
- Ultrasound
Treatment
Therapy depends on the severity of the hernia. Treatment includes: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), pain medications such as acetaminophen (Tylenol), girdle, and/or surgical repair. Surgical repair is needed emergently if the bowel is obstructed or only receiving limited blood supply (strangulated).
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