Anatomy

In a femoral hernia, the herniating viscus acquires a peritoneal sac, which is surrounded by preperitoneal fat and areolar tissue. This hernial mass enters the femoral ring to pass down the femoral canal and emerge through the fossa ovalis (saphenous opening) into the subcutaneous tissue on the medial side of the thigh, just inferior to the inguinal ligament. Once it has arrived in the loose subcutaneous space of the medial side of the thigh, the mass may extend upward to lie around the inguinal ligament, in which position it can easily be mistaken for an inguinal hernia, or it may enlarge entirely below the inguinal ligament. As

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