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Case Reports in Surgery
Volume 2014, Article ID 195736, 3 pages
http://dx.doi.org/10.1155/2014/195736
Case Report

Intestinal Obstruction due to Bilateral Strangulated Femoral Hernias

1General Surgery, Lewisham and Greenwich NHS Trust, London SE18 6SY, UK
2General and Breast Surgery, Lewisham and Greenwich NHS Trust, London SE18 4QH, UK

Received 27 April 2014; Accepted 16 June 2014; Published 26 June 2014

Academic Editor: David J. Bentrem

Copyright © 2014 Ioannis Nikolopoulos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Femoral hernias are at high risk of strangulation due to the narrow femoral canal and femoral ring. This can lead to symptoms of obstruction or strangulation requiring emergency surgery and possible bowel resection. To our knowledge, there is only one previous published report of bilateral strangulated femoral hernia. We present our case of this phenomenon. Case Report. An 86-year-old woman presented with symptoms of small bowel obstruction. Examination revealed two tender lumps in the area of the femoral triangle. CT scan revealed bilateral femoral hernias. Both hernias were repaired and a small bowel resection on the right side was performed with side to side anastomosis. She made an uneventful recovery. Conclusion. Bilateral femoral hernias are a rare occurrence with only one reported case of bilateral strangulation. Our case highlights the importance of meticulous history taking and clinical examination as any delay in diagnosis will increase the risk of mortality and morbidity for the patient. Hernias should always be considered as a cause if one presents with symptoms of abdominal pain or obstruction.