Presentation
The patient complained of a slightly painful swelling bulging at the right groin, especially with standing position.
Patient Data
Ultrasound scanning inferior to the right inguinal ligament both during rest and with Valsalva, shows a spontaneously reducible fat-containing mass lesion seen protruding medical to femoral vein, likely represent a reducible femoral hernia corresponds to the patient's region of clinical concern. The hernial orifice/neck measured at 7mm at rest.
Case Discussion
Dynamic ultrasound scanning helps provoke and identify reducible groin hernias. Femoral hernia seen inferior to the right inguinal ligament, and showed as a fat containing herniation medial to femoral vein during valsalva maneuver. Femoral vein should also dilates with valsalva; large femoral hernias may prevent full femoral vein dilation.
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