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A strangulated femoral hernia occurs when a constriction of the hernia limits or completely obstructs blood supply to part of the bowel involved in the hernia. Strangulation can occur in all hernias, but is more common in femoral and inguinal hernias due to their narrow "weaknesses" in the abdominal wall.
Several other things could cause pain in the right side of the body under your ribs too, and they can be as minor as heartburn. If that's the case, there is just as great of a chance of it ...
It is more often seen in men, and predominantly on the right side. Maydl's hernia should be suspected in patients with large incarcerated herniae and in patients with evidence of intra-abdominal strangulation or peritonitis. Postural or manual reduction of the hernia is contra-indicated as it may result in non-viable bowel being missed. [2]
The incidence of strangulation in femoral hernias is high. Repair techniques are similar for femoral and inguinal hernia. A Cooper's hernia is a femoral hernia with two sacs, the first being in the femoral canal, and the second passing through a defect in the superficial fascia and appearing almost immediately beneath the skin.
De Garengeot's hernia is a rare subtype of an incarcerated femoral hernia. This eponym may be used to describe the incarceration of the vermiform appendix within a femoral hernia . [ 1 ] This mechanism is contrasted with the Amyand hernia, in which the appendix protrudes through an inguinal hernia.
Ovulation pain (mittelschmerz): Mid-cycle pain during ovulation, often on one side. Menstrual cramps: Commonly experienced during menstruation and can radiate to the lower abdomen.
The lacunar ligament is the only boundary of the femoral canal that can be cut during surgery to release a femoral hernia. Care must be taken when doing so as up to 25% of people have an aberrant obturator artery (corona mortis) which can cause significant bleeding.
An obturator hernia is a type of hernia involving an intrusion into the obturator canal. The obturator nerve can be compressed in the obturator canal. [2] The obturator canal may be compressed during pregnancy and major traumatic injuries, causing obturator syndrome. [3]
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