Femoral Hernia in Childhood, an Infrequent and Misdiagnosed Problem.

Tariq Abu Esbeih, Osama Abu Salem

Abstract


Objectives: This is a retrospective study of 12 patients with a childhood Femoral hernia who were treated at some of the military hospitals in north and south of Jordan during January 1994 to January 2004.
The aim of our study was to review our experience with femoral hernia in children during the past 10 years.
Methods: We reviewed retrospectively the medical records of all children patients who underwent femoral hernia repair. Age, gender, presentation; surgical findings and procedures were recorded.
Results: There were 8 girls (66.7%) and 4 boys (33.3%); age range was 2-9 years. Seven were right sided (58.3%) and 5 were left sided (41.7%) and none was bilateral. Ten patients with a lump in the groin, two with a recurrent lump in the groin, duration of symptoms ranged from one day to 3 years.
The correct diagnosis was not made clinically in any of the cases preoperatively.
Ten cases were misdiagnosed as inguinal hernias and two cases presented with recurrent groin masses after they had undergone inguinal exploration less than 2 months before.
Conclusion: Femoral hernia in childhood is a challenging clinical problem because of its rarity and a similar clinical presentation as indirect inguinal hernia.
During an operation for inguinal hernia, it is essential to think of femoral hernia when hernial sac is not found.

Keywords


Femoral hernia, inguinal hernia, childhood.

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