Navigate Up

Pediatric Center - A-Z Index

#
Q
Z

Print This Page

Femoral hernia

 

A hernia occurs when the contents of the abdomen (usually part of the small intestine) push through a weak point or tear the thin muscular wall of the belly, which holds the abdominal organs in place.

A femoral hernia is a bulge in the upper part of the thigh near the groin.

Alternative Names

Femorocele; Enteromerocele; Crural hernia

Causes, incidence, and risk factors

Most of the time, there is no clear cause of a hernia. Some hernias may be present at birth (congenital), but are not noticed until later in life.

Some factors that contribute to the development of a hernia include:

  • Chronic constipation
  • Chronic cough
  • Heavy lifting
  • Obesity
  • Straining to urinate because of an enlarged prostate

Femoral hernias tend to occur more often in women than in men.

Symptoms

You may see a bulge in the upper thigh just below the groin.

Most femoral hernias cause no symptoms. There may be some groin discomfort that is worse when you stand, lift heavy objects, or strain.

Sometimes, the first symptoms are sudden groin pain, abdominal pain, nausea, or vomiting. This may mean that the intestine within the hernia is blocked. This is an emergency.

Signs and tests

The best way to tell if there is a hernia is to have your health care provider perform a physical exam.

If there is any doubt about the exam findings, an ultrasound or CT scan may be helpful.

Treatment

Treatment depends on the symptoms present with the hernia.

If you feel sudden pain in your groin, a piece of intestine may be stuck in the hernia (called an incarcerated hernia). This needs treatment right away in a hospital emergency room, and you may need emergency surgery.

When you have chronic discomfort from a femoral hernia, talk to your health care provider about treatment choices.

  • Hernias often get larger with time, and they do not go away on their own.
  • Femoral hernias are more commonly incarcerate compared to other types of hernias.

Your surgeon may recommend femoral hernia repair surgery to avoid a possible medical emergency.

If you do not have surgery right away:

  • Increase your fiber intake and drink fluids to avoid constipation.
  • Lose weight if you are overweight.
  • See your health care provider if you have trouble urinating (men).
  • Use proper lifting techniques.

Expectations (prognosis)

The chances of a femoral hernia coming back after surgery are about low.

If the intestine or other tissue becomes stuck, a portion of the intestine may need to be removed.

Calling your health care provider

Call your health care provider or local emergency number (911) or go to the emergency room right away if:

  • You suddenly develop pain in the hernia and the hernia cannot be pushed back into the abdomen using gentle pressure.
  • You develop nausea, vomiting, or abdominal pain.
  • Your hernia becomes red, purple, dark, or discolored.

Call your health care provider for an appointment or advice if you have a bulge in the upper thigh next to the groin.

Prevention

 

References

Malangoni MA, Rosen MJ. Hernias. In: Townsend CM Jr., Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2012:chap 46.

Updated: 8/17/2012

Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington; and Joshua Kunin, MD, Consulting Colorectal Surgeon, Zichron Yaakov, Israel. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Inc.


©  UPMC | Affiliated with the University of Pittsburgh Schools of the Health Sciences
Supplemental content provided by A.D.A.M. Health Solutions. All rights reserved.

For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.

Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.

For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.

© UPMC
Pittsburgh, PA, USA UPMC.com