A rare case of strangulated femoral hernia in a male child: Case report

Background and importance

Strangulated femoral hernias are rare in pediatric patients. This case highlights the importance of early suspicion and diagnosis to prevent complications.

Case presentation

A 14-years old male presented to our emergency department with a two-days history of worsening left groin pain. Clinical examination confirmed the diagnosis of a strangulated femoral hernia. A hernia sac was identified and the content was necrotic adipose tissue. Resection and hernia repair was performed successfully.

Clinical dissection

Femoral hernia is an uncommon surgical entity in the pediatric population, and its diagnosis remains a challenge, with an incidence ranging from 0.3 % to 1 %. Unlike in adults, the incidence rates are similar by sex, though, like adults, right-side hernias are more common. However, our case presents with a left-side hernia.

Conclusion

Strangulated femoral hernias should be considered in pediatric patients with acute groin pain and a history of reducible hernias. Early diagnosis and prompt surgical intervention are crucial to preventing complications.