Which clinical findings suggest an incarcerated abdominal femoral hernia?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Peritoneal signs and intestinal obstruction suggest an incarcerated femoral hernia. With common lymph node swelling, the mass is located superficial and inferior to the femoral ring. On examination, enlarged lymph nodes feel firm, somewhat lobulated, and fairly mobile. A primary lesion (eg, a cut, scratch, or open wound) should be sought through careful examination of the lymph node drainage area. Culture of the lymph node aspirate guides antibiotic therapy.


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