Which hernia type is described as lying within the femoral canal, medial to the femoral vein, lateral to the lacunar ligament, and has the highest risk of strangulation among all groin hernias?

• A Indirect inguinal hernia
• B Direct inguinal hernia
• C Obturator hernia
• D Femoral hernia ✓

Explanation

Femoral hernia passes through the femoral canal, which is bounded by the femoral vein laterally, lacunar (Gimbernat's) ligament medially, inguinal ligament anteriorly, and pectineal (Cooper's) ligament posteriorly. The narrow rigid boundaries make femoral hernias highly prone to incarceration and strangulation — approximately 40% present with strangulation at first presentation. They occur more commonly in women (though indirect inguinal hernia is still the most common groin hernia in women). Prompt surgical repair is always indicated; watchful waiting is not acceptable.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.