title: Thrombosed sapheno-varix: an important and unusual differential diagnosis of strangulated femoral hernia.
abstract: An incarcerated femoral hernia often requires prompt operative management to decrease the risk of bowel strangulation, perforation and death from peritonitis. We present a case of a 60-year-old man who had a clinically irreducible right femoral hernia, and in whom a Richter's hernia could not be excluded. He was found to have a thrombosed sapheno-varix with no evidence of a femoral hernia. Thrombosed sapheno-varix presenting as a strangulated femoral hernia has never previously been described in the literature.
authors.affiliation: Department of Surgery, East Glamorgan Hospital, Church Village, Pontypridd, Mid Glamorgan.
authors.forename: T D
authors.initials: TD
authors.lastname: Owen
mesh_terms: D003937:Diagnosis, Differential; D006550:Hernia, Femoral / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein; D013927:Thrombosis / Q000175:diagnosis*; D014648:Varicose Veins / Q000175:diagnosis*