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January 20, 1912


Author Affiliations

Visiting Surgeon, Bellevue Hospital; Assistant Surgeon, St. Luke's Hospital NEW YORK

JAMA. 1912;LVIII(3):172-174. doi:10.1001/jama.1912.04260010174007

Strangulated femoral hernia is a surgical condition in which early diagnosis and prompt operation result in a fairly low mortality; while failure to recognize the condition and consequent delay directly increase the danger and operative risk. The fact that a large proportion of these cases are not diagnosed promptly, or an incorrect diagnosis is made with a resulting delay of the necessary surgical treatment, prompts the writing of this paper, with the brief report of the following nine cases:

Case 1.  —R. W., woman, aged 54, had swelling in groin for two years, which had increased in size for past six weeks; vomiting four days before she was referred to Bellevue Hospital. Pain in swelling was complained of for only twenty-four hours before admission. Intestine was found blue and congested, but circulation returned and hernia was reduced and ring sutured. Patient was discharged as cured on twenty-ninth day.

Case 2.  —S.