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
Anterior cutaneous branches of the femoral nerve at its lower third. Anterior cutaneous branches of the femoral nerve The anterior cutaneous branches of the femoral nerve consist of the following nerves: "intermediate cutaneous nerve" and "medial cutaneous nerve". The intermediate cutaneous nerve (middle cutaneous nerve) pierces the fascia lata (and generally the sartorius) about 7.5 cm. below the inguinal ligament, and divides into two branches which descend in immediate proximity along the forepart of the thigh, to supply the skin as low as the front of the knee. Here they communicate with the anterior division of lateral cutaneous nerve, the anterior division of medial cutaneous nerve and