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Case Reports
. 2017 Jul 16:2017:bcr2017220141.
doi: 10.1136/bcr-2017-220141.

The Duari hernia and recognition of the femoral vein compression sign

Ian Y Goh  1 , Anna Louise Sandstrom  1 , Troy Stapleton  2 , Ratna Aseervatham  1 , David A Grieve  1
Affiliations
Case Reports

The Duari hernia and recognition of the femoral vein compression sign

Ian Y Goh et al. BMJ Case Rep. .

Abstract

Femoral hernias can be difficult to diagnose and are at high risk of strangulation. This report is of a rare case of an irreducible femoral hernia containing caecum and appendix presenting as an emergency. To the authors' knowledge, there have only been three cases reported, the first described by Duari. This case was incorrectly diagnosed preoperatively as an inguinal hernia, so the CT diagnosis of femoral hernias is reviewed, in particular demonstrating the radiological use of the femoral vein compression sign.

Keywords: gastrointestinal surgery; general surgery; radiology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Sagittal CT image showing the Duari hernia. The long arrow indicating the appendix. The short arrow indicating the caecum.
Figure 2
Figure 2
Axial CT image showing the femoral hernia. The long arrow indicating a positive femoral compression sign. The short arrow indicating a normal femoral vein.
Figure 3
Figure 3
Coronal CT image showing the positive femoral compression vein sign (long arrow) compared with a normal femoral vein (short arrow).
See this image and copyright information in PMC

References

    1. Bay-Nielsen M, Kehlet H, Strand L, et al. . Quality assessment of 26,304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet 2001;358:1124–8. 10.1016/S0140-6736(01)06251-1 - DOI - PubMed
    1. Dahlstrand U, Wollert S, Nordin P, et al. . Emergency femoral hernia repair: a study based on a national register. Ann Surg 2009;249:672–6. 10.1097/SLA.0b013e31819ed943 - DOI - PubMed
    1. Naude GP, Ocon S, Bongard F. Femoral hernia: the dire consequences of a missed diagnosis. Am J Emerg Med 1997;15:680–2. 10.1016/S0735-6757(97)90184-4 - DOI - PubMed
    1. Swartz DE, Felix EL. Femoral hernia, in the SAGES manual of hernia repair. Germany: Springer, 2013:103–14.
    1. Nicholson S, Keane TE, Devlin HB. Femoral hernia: an avoidable source of surgical mortality. Br J Surg 1990;77:307–8. 10.1002/bjs.1800770323 - DOI - PubMed

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