Femoral Hernia Inguinal Hernia Differentiation

In 74 of 75 cases femoral and inguinal hernias were correctly differentiated from each other based on mdct.

Femoral hernia inguinal hernia differentiation. We diagnosed hernias prolapsing anterior to the inguinal ligament as inguinal hernias and those passing posterior to the ligament as femoral hernias. It is important to know the difference between the two types of hernia femoral and inguinal. Suzuki s 1 furui s okinaga k sakamoto t murata j furukawa a ohnaka y. The main differential is made with inguinal hernias.

Ct played a minor role until recently although. With the advent of higher resolution multidetector computed tomography ct the minute anatomic detail of the inguinal region can be better delineated. Surgeons including those in training tend to be better than gps but they too are far from perfect and so alternative criteria have been suggested. All of the examinations were performed with a 16multidetector row ct mdct scanner with.

The diagnosis of femoral hernia is done by conducting an ultrasound of the abdomen and the groin area. Differentiation of inguinal hernias and femoral hernias is often difficult by clinical examination alone. Femoral hernias are more common in women and unlike inguinal hernias they remain lateral to the pubic tubercle. Femoral hernias invariably compress the femoral vein while it is rare for an inguinal hernia to compress the femoral vein.

Difference between inguinal and femoral hernia. All 12 visible nonincarcerated femoral hernias had localized sacs with venous compression review of femoral hernias. Ct is valuable for confirmation of the diagnosis of inguinal hernia 11. As mentioned previously preoperative differentiation of a femoral hernia from an inguinal hernia is important clinically especially in a nonincarcerated case because it can affect the indication for surgery.

A total of 32 patients with 11 femoral hernias and 21 inguinal hernias underwent ct imaging. Differentiation of direct inguinal hernias indirect inguinal hernias and femoral hernias is often difficult at clinical examination and pre sents challenges even at diagnostic imaging. In our patients. This study was designed to evaluate the diagnostic value of the use of inguinal ligament coronal oblique ct images in the differentiation of femoral hernias from inguinal hernias.

The femoral hernia tends to occur more in women while the inguinal tends to occur more in men. Or the evaluation of groin hernias physical examination is most im portant in clinical practice 1 al though it is sometimes difficult to distinguish femoral from inguinal hernias 2. 1 department of radiology teikyo university school of medicine 2 11 1 kaga itabashi ku tokyo 173 8605 japan. Differentiation of femoral versus inguinal hernia.