[Femoral hernia in geriatric patient]

When facing an elderly patient with cognitive impairment and unspecific digestive symptoms, the physical examination should include the research of a groin hernia. Additional radiological exam may be required to confirm the diagnosis. Femoral hernia is a diagnostic pitfall, as clinical signs are not always obvious. It occurs late in life and is often found to be already complicated when the patient seeks attention. While the elective surgical treatment is simple, it needs an emergency surgical repair when it is incarcerated that is often associated with intestinal resection and post-operative complications including death.