Femoral hernia The incidence of strangulation in femoral hernias is high. A femoral hernia has often been found to be the cause of unexplained small bowel obstruction. The cough impulse is often absent and is not relied on solely when making a diagnosis of femoral hernia. The lump is more globular than the pear-shaped lump of the inguinal hernia. The bulk of a femoral hernia lies below an imaginary line drawn between the anterior superior iliac spine and the pubic tubercle (which essentially represents the inguinal ligament) whereas an inguinal hernia starts above this line. Nonetheless, it is often impossible to distinguish
Femoral artery Femoral artery The femoral artery is a large artery in the thigh and the main arterial supply to the leg. It enters the thigh from behind the inguinal ligament as the common femoral artery, a continuation of the external iliac artery. Injuries to the femoral artery can require reattachment surgery. Here, it lies midway between the anterior superior iliac spine and the symphysis pubis. The common femoral artery gives off the profunda femoris artery and becomes the superficial femoral artery to descend along the anteromedial part of the thigh in the femoral triangle. It enters and passes through the adductor