Bilateral strangulated femoral hernia in a male: a rare surgical case report

Femoral hernias are at a high risk of strangulation due to their narrow necks.They are an exceptionally rare occurrence in males.In manycases,differentiation between a femoral and inguinal hernia is difficult.We present the case of a bilateral strangulated femoral hernia ina 70-year-old male.To our knowledge,there has been only one previously published report of such a case in males.Our patient presentedwith generalized abdominal pain and bilateral irreducible groin swellings,originally thought to be bilateral strangulated inguinal hernia.Upon initial inguinal incision,a diagnosis of a strangulated femoral hernia was made.A modified lower midline laparotomy incision wasmade to gain access to and diagnose both femoral hernias and allow for bowel resection and abdominal washout. Our case highlightsthe importance of modifying the surgical approach when encountering with a different diagnosis intraoperatively.