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Femoral hernia in children.

S Al-Shanafey1, M Giacomantonio

  • 1Division of Pediatric General Surgery, IWK Grace Health Centre and Dalhousie University, Halifax, Nova Scotia, Canada.

Journal of Pediatric Surgery
|August 12, 1999
PubMed
Summary

Femoral hernia in children is rare and often misdiagnosed as inguinal hernia. Early consideration of femoral hernia is crucial, especially when indirect inguinal hernia is not found during surgery.

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Area of Science:

  • Pediatric Surgery
  • Abdominal Wall Reconstruction

Background:

  • Femoral hernia is uncommon in pediatric patients.
  • It is frequently misdiagnosed as inguinal hernia due to similar presentations.

Purpose of the Study:

  • To evaluate the clinical performance and diagnostic accuracy of femoral hernia in children.
  • To highlight the challenges in diagnosing pediatric femoral hernias.

Main Methods:

  • Retrospective review of pediatric patients (<15 years) with femoral hernia from 1977-1998.
  • Data collected included age, gender, presentation, surgical findings, and prior repair history.

Main Results:

  • Nine girls (53%) and eight boys (47%) were identified.
  • Most presented with a groin lump; 35% were correctly diagnosed preoperatively, with others mistaken for inguinal hernias.
  • A high rate of misdiagnosis highlights diagnostic challenges.

Conclusions:

  • Femoral hernia in children presents a diagnostic challenge due to its rarity and similarity to indirect inguinal hernias.
  • The presence of an incidental indirect inguinal hernia sac can perpetuate misdiagnosis.
  • Consideration of femoral hernia is recommended when an expected indirect inguinal hernia is absent or appears recurrent.

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