Abstract
Femoral hernias account for 8%–11% of all groin hernias and 3%–5% of all anterior
abdominal wall hernias. While groin hernias are more common in males, femoral hernias are
developed more commonly in female, accounting for 22%–34% of all groin hernias compared
with 1.1% in male. The lifetime risk of developing groin hernia in male is approximately
25% but in female less than 5%, so in all female patients with groin hernias, femoral
hernias should be included in the differential diagnosis until proven otherwise. The main
concern of a femoral hernia is the higher risk of bowel strangulation, presenting
emergently in 32%–39% of patients. We report a case of strangulated femoral hernia in a
78-year-old female who was presented to emergency department with groin abscess based on
ultrasound image; patient was then diagnosed as having strangulated femoral hernia and
taken to the operating theater, where she was found having strangulated segment of small
intestine, so the patient underwent bowel resection and anastomosis with repair of the
defect extraperitoneally, and ultimately, the patient improved and discharged from the
hospital. Strangulated femoral hernia can present with groin abscess. Furthermore, femoral
hernia should be ruled out in elderly patient presented with groin abscess, especially
female patients.