ReviewAfrican journal of paediatric surgery : AJPS
Femoral hernia in children: How to avoid misdiagnosis?
Review in African journal of paediatric surgery : AJPS. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Childhood Inguinal, Femoral, and Abdominal Hernias in Low-Income Countries: Trends, Inequalities, and Projections to 2050.Pediatric surgery international · 2026Article
- The disease burden of inguinal, femoral, and abdominal hernias in children from low- and middle-income countries, 1990-2023 with projections to 2050: a systematic analysis of the Global Burden of Disease Study.Translational pediatrics · 2026Article
- Surgical management of a giant lipoma initially misdiagnosed as an inguinal hernia.Discover oncology · 2026Article
- Rare findings of indirect inguinal hernia repair during laparoscopic PIRS technique in children: a two-center audit.Frontiers in pediatrics · 2026Article
- Single-incision laparoscopic herniorrhaphy needle treatment for pediatric inguinal hernia: Surgical outcome, postoperative complications, and serum inflammation effects.World journal of gastrointestinal surgery · 2025Article
- Femoral hernia in pediatric population: a diagnostic and surgical challenge.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
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Authors and funding
9 authors.
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Abstract
backgroundFemoral hernias are an uncommon groin pathology among pediatric patients. Therefore, they are frequently misdiagnosed. In the present study, we review our experience with this rare surgical entity during the past 25 years.
methodsThe medical records of 19 patients who underwent 22 femoral hernia repairs between January 1994 and December 2019 were retrospectively analysed.
resultsPatients' age ranged from 2 to 12 years (mean age was 5. 5 years) with an approximately equal sex ratio (10 girls/9 boys). There were three bilateral cases identified separately. They were discovered and managed at different times. All the children were referred with a groin lump, but the correct pre-operative diagnosis was made in only 13 cases (59%). In the remaining cases, four were identified intraoperatively following negative exploration for a supposed inguinal hernia. The other five were found to have a femoral hernia 1 month to 12 months after ipsilateral inguinal hernia repair. All patients underwent elective surgery. The femoral canal was closed using either Lytle or McVay procedure. Recurrence occurred in only one patient 2 months after initial repair.
conclusionFemoral hernias are often misdiagnosed. Pre-operative diagnosis can be obtained through careful clinical assessment. In equivocal cases, ultrasonography and laparoscopy could be useful. A correct pre-operative diagnosis will lead to suitable treatment, thus avoiding unnecessary reoperations and their related complications.
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