Portal de Periódicos da CAPES

Reappraisal of femoral hernia in children

1997; Oxford University Press; Volume: 84; Issue: 1 Linguagem: Inglês

10.1046/j.1365-2168.1997.02471.x

1365-2168

G. Radcliffe, Mark D. Stringer,

Case Reports on Hematomas

Background Femoral hernias are rare in children, accounting for fewer than 1 per cent of all paediatric groin hernias. Misdiagnosis is common and a source of complications. There is no consensus on the age and sex distribution or the optimum method of repair. Methods A personal experience of four children with femoral hernia is reported together with an institutional review of a further ten hernias encountered during the past 11 years. Results Peak incidence was between 5 and 10 years of age. Misdiagnosis was common, partly because of the variability in presenting symptoms and signs. In this series, boys were more commonly affected but a literature review indicated a similar sex incidence. Conclusion A femoral hernia should be positively excluded if the operative findings at inguinal exploration are inconsistent with the preoperative signs and in any child with a suspected recurrent inguinal hernia. Excision of the sac and repair of the femoral canal is curative.