Femoral and Richter's hernia

Question 1

Femoral triangle

It contains the femoral ?, femoral ?, and femoral ? - how are they ordered medial to lateral?
The femoral sheath is an ? prolongation of the ?/? fascia that passes ? to the inguinal ligament to allow the passage of the femoral artery/ vein into the femoral triangle.
The femoral ? lies at the ? extremity of the femoral sheath, and is
the site of femoral hernia.

Answer 1

artery
vein 
nerve
NAV genitals VAN (so VAN med to lat)
inferior
iliopsoas/transversalis
deep

canal
medial

Question 2

Femoral Hernia

The bowel exits the abdominal cavity through the femoral ?, a weak point
in the anterior abdominal wall.
As the hernia ?, it can pass out of the ? opening and into the ? fascia, however the femoral canal opening is relatively ? with ? borders, thus there is a ? risk of obstruction/?

Answer 2

ring
enlarges
saphenous
deep
small
strong
high
strangulation

Question 3

Richter’s hernia: a hernia involving only ? ? of the bowel and not the bowel ?, which can result in bowel ? and ? without causing ? or any of its warning signs. They are particularly likely in the femoral sac.

Answer 3

one sidewall
lumen
strangulation
perforation
obstruction

Question 4

Femoral hernia

50% will present as a surgical ? due to ? contents, with the others presenting as a ? lump below and ? to the pubic ?.

Answer 4

emergency
obstructed
globular
lateral
tubercle

Question 5

Groin lump DDx

• ? hernia
• ?-oma
• Femoral ? ?
• Saphenous ? (? of saphenous ? in groin)
• Psoas ?
• lymph node

Answer 5

inguinal
lipoma
artery aneurysm
ovarix
dilation
vein
abscess