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
Ans Wortel Ans Wortel Ans (Anna Maria) Wortel (18 October 1929, in Alkmaar, Netherlands4 December 1996, in Hilvarenbeek, Netherlands) was a Dutch painter, poet and writer. She made gouaches and oil paintings, aquarelles, drawings, collages, lithographs, etchings, sculptures and glass sculptures. She was an autodidact and won the first prize at the biennale of Paris in 1963. She was one of the leading female artists of postwar Dutch modern art. Wortel’s work is strongly autobiographical. Her experiences as a girl, woman, mother and as an artist were the main source of her inspiration. Common themes are human emotions, love, relationships, mother/child relations