A 75-year-old female presents with a painless bulge in the groin located inferolateral to the pubic tubercle and below the inguinal ligament. What type of hernia is present?
Answer and explanation
Correct answer: D. Femoral hernia
- Step 1: Femoral hernias protrude through the femoral ring into the femoral canal, emerging below and lateral to the pubic tubercle.
- Step 2: They occur predominantly in elderly women due to a wider pelvis and multiparity.
- Step 3: Due to the rigid boundaries of the femoral ring (lacunar ligament medially, femoral vein laterally), femoral hernias carry a very high risk of strangulation.
Answer
Femoral hernia.
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