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Clinical manifestations and ultrasound diagnosis of femoral hernia
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Dr. Maya Benitez, MD
700 S Flower StLos Angeles, CA 90017 general practice
Expert Medical Information
Femoral hernias are more commonly seen in women. The hernia sac enters the femoral canal and terminates beside the femoral vessels, so the small mass is usually located on the medial side of the thigh, below the inguinal ligament, or near the pubic symphysis. When enlarged, the hernia sac moves upward and can sometimes be difficult to distinguish from an indirect inguinal hernia. There is no impulse sensation during coughing, and femoral hernias often cause symptoms of strangulation.
On ultrasound, the hernia sac in a femoral hernia shows hyperechoic areas, located below the inguinal ligament, beside the femoral artery and vein on the medial side of the thigh, or near the pubic symphysis. In larger hernia sacs, the hyperechoic areas may move upward, distinguishing them from inguinal hernias. In long-standing cases, anechoic areas indicating fluid accumulation can be observed in the hernia sac.
Common symptoms include fever, fatigue, and discomfort in the affected area. Always consult with a healthcare professional for an accurate diagnosis.
Diagnosis typically involves a physical examination, medical history review, and possibly laboratory tests or imaging studies depending on the suspected cause.
Treatment options vary based on the specific condition, severity, and individual health factors. They may include medication, lifestyle changes, physical therapy, or in some cases, surgical intervention.
Seek immediate medical attention if you experience severe symptoms, rapid worsening of condition, or if self-care measures aren't providing relief within a reasonable timeframe.