Femoral hernia differential diagnosis: Difference between revisions
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==Differentiating femoral hernia from other diseases== | ==Differentiating femoral hernia from other diseases== | ||
Femoral hernia must be differentiated from other diseases that cause swelling in the groin area. The differentials include the following:<ref name="DiwanSarkar2000">{{cite journal|last1=Diwan|first1=Aparna|last2=Sarkar|first2=Rajabrata|last3=Stanley|first3=James C.|last4=Zelenock|first4=Gerald B.|last5=Wakefield|first5=Thomas W.|title=Incidence of femoral and popliteal artery aneurysms in patients with abdominal aortic aneurysms|journal=Journal of Vascular Surgery|volume=31|issue=5|year=2000|pages=863–869|issn=07415214|doi=10.1067/mva.2000.105955}}</ref><ref name="pmid1433668">{{cite journal |vauthors=Rigdon EE, Monajjem N |title=Aneurysms of the superficial femoral artery: a report of two cases and review of the literature |journal=J. Vasc. Surg. |volume=16 |issue=5 |pages=790–3 |year=1992 |pmid=1433668 |doi= |url=}}</ref> | |||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]
Overview
Femoral hernia must be differentiated from other diseases that cause swelling in the groin area, such as inguinal hernia, femoral artery aneurysm, saphenous vein varicosity, lymphadenopathy and lipoma.
Differentiating femoral hernia from other diseases
Femoral hernia must be differentiated from other diseases that cause swelling in the groin area. The differentials include the following:[1][2]
| Diseases | History and Symptoms | Physical Examination | Imaging | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Swelling | Pain | Nausea | Vomiting | Age/Gender | Location of swelling | Tenderness | Redness | Ultrasonography | |
| Femoral hernia | + | +/- | +/- | +/- | Female > 45yrs | Below the inguinal ligament | |||
| Inguinal hernia | + | + | +/- | +/- | Male > 40yrs | Above the inguinal ligament | Abnormal ballooning of the anteroposterior diameter of the inguinal canal | ||
| Femoral artery aneurysm | + | - | - | - | Male > 60 yrs | Usually below the inguinal ligament | Duplex ultrasound used to differentiate between femoral artery aneurysm and femoral hernia | ||
| Saphenous vein varicosity | + | +/- | - | - | Female | Sephanofemoral junction | |||
| Lymphadenopathy | + | +/- | - | - | Both | Femoral canal | Internal echo in cases of lymphadenopathy | ||
| Lipoma | + | +/- | - | - | Male and female 40-60 yrs | Occurs any where throughout the body | Echogenic solid mass, often misinterpreted as a fat containing hernia. | ||
References
- ↑ Diwan, Aparna; Sarkar, Rajabrata; Stanley, James C.; Zelenock, Gerald B.; Wakefield, Thomas W. (2000). "Incidence of femoral and popliteal artery aneurysms in patients with abdominal aortic aneurysms". Journal of Vascular Surgery. 31 (5): 863–869. doi:10.1067/mva.2000.105955. ISSN 0741-5214.
- ↑ Rigdon EE, Monajjem N (1992). "Aneurysms of the superficial femoral artery: a report of two cases and review of the literature". J. Vasc. Surg. 16 (5): 790–3. PMID 1433668.