Abstract • Nonpalpable femoral hernias were diagnosed in four patients by the ultrasonic visualization of a space-occupying mass medial to the femoral vein. All four patients had surgical verification of their ultrasonic diagnoses. Therefore, we suggest the liberal use of sonography in the femoral region to aid in the early diagnosis of nonpalpable and clinically questionable femoral hernias. In patients with incarcerated femoral hernias, early sonographic diagnosis prior to strangulation may decrease the high mortality associated with this complication. (Arch Surg 116:185-187, 1981) References 1. Glassow F: Femoral hernia in men . Am J Surg 1971;121:637-640.Crossref 2. Ponka JL, Brush BE: Problem of femoral hernia . Arch Surg 1971;102:417-423.Crossref 3. Wheeler MH: Femoral hernia: Analysis of the results of surgical treatment . Proc R Soc Med 1975;68:177-178. 4. Koontz AR: Historical analysis of femoral hernia . Surgery 1963;53:551-555. 5. Dennis C, Enquist JF: Strangulating external hernia , in Nyhus LM, Condon RE (eds): Hernia , ed 2. Philadelphia, JP Lippincott Co, 1978, pp 279-299. 6. Condon RE: The anatomy of the inguinal region and its relationship to groin hernia , in Nyhus LM, Condon RE (eds): Hernia , ed 2. Philadelphia, JB Lippincott Co, 1978, pp 48-49. 7. Rogers FA: Strangulated femoral hernia: A review of 170 cases . Ann Surg 1959;149:9-20.Crossref 8. Deitch EA, Engel JM: Spigelian hernia: An ultrasonic diagnosis . Arch Surg 1980;115:93.Crossref 9. Deitch EA, Engel JM: Ultrasonic diagnosis of surgical diseases of the anterior abdominal wall . Surg Gynecol Obstet 1980;151:464-486. 10. Oh KS, Condon VR, Dorst JP, et al: Peritoneographic demonstration of femoral hernia . Radiology 1978;127:209-211.Crossref 11. Arner O, Fernstrom I: The value of pneumoperitoneum in the diagnosis of hernia in the inguinal region . Surgery 1970;67:741-747.
Archives of Surgery – American Medical Association
Published: Feb 1, 1981