Get answers to your Hernia questions.
Femorocele; Enteromerocele; Crural hernia
A femoral hernia is a bluge in the upper part of the thigh near the groin.
A hernia occurs when the contents of the abdomen (usually part of the small intestine) push through a weak point or tear the thin muscular wall of the abdomen, which holds the abdominal organs in place.
Most of the time, there is no clear cause of a hernia. Some hernias may be present at birth (congenital), but are not noticed until later in life.
Some factors that contribute to the development of a hernia include:
Femoral hernias tend to occur more often in women than in men.
You may see a bulge in the upper thigh next to the groin.
Most femoral hernias cause no symptoms. There may be some groin discomfort that is worse when you stand, lift heavy objects, or strain.
Sometimes, the first symptoms are abdominal pain, nausea, and vomiting. This may mean that the intestine is blocked, which is an emergency.
Hernias generally get larger with time, and they usually do not go away on their own. Surgery may be done to repair a femoral hernia.
Surgery will relieve discomfort. Also, if the hernia is not treated, there is a risk of tissue getting stuck or trapped in the weak area (called incarceration). This tissue may die off if it remains incarerated for too long.
Often, a piece of plastic mesh is surgically placed to repair the defect in the abdominal wall.
The chances of a femoral hernia coming back after surgery are about 5 - 10%.
If the intestine or other tissue in the femoral hernia becomes stuck (incarcerated) or becomes gangrenous (strangulated), emergency surgery is needed.
Call your health care provider or local emergency number (911) or go to the emergency room right away if:
Call your health care provider for an appointment or advice if you have a bulge in the upper thigh next to the groin.
There may not be any way to prevent a hernia from developing, or, if you already have a hernia, to stop it from becoming stuck or gangrenous. However, trying to avoid putting too much pressure on the abdominal wall may help.
Malangoni MA, Rosen MJ, eds. Hernias. In: Townsend CM Jr., Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 44.
© 2011 University of Maryland Medical Center (UMMC). All rights reserved.
UMMC is a member of the University of Maryland Medical System,
22 S. Greene Street, Baltimore, MD 21201. TDD: 1-800-735-2258 or 1.866.408.6885