We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Femoral Hernia in Children

Paul K. H. Tam, FRCS (Edin); James Lister, MD, FRCS
Arch Surg. 1984;119(10):1161-1164. doi:10.1001/archsurg.1984.01390220045010.
Text Size: A A A
Published online


• During a period of ten years, 20 children with femoral hernias were treated at Alder Hey Children's Hospital, Liverpool, England. Unfamiliarity with the occurrence of femoral hernias in children resulted in a correct diagnosis in only three (15%) of the 20 cases by the referring physician and in only 13 (65%) of the cases by the first surgeon to see the child. Misdiagnosis included inguinal hernia (four cases), lymphadenitis (two cases), and lymphangioma (one case). In two cases, misdiagnosis resulted in mistreatment; one child had the wrong operation performed, and delay in surgery in another resulted in strangulation of the omentum in the hernial sac. Treatment is by operation, which, despite the wide variety of procedures employed, was successful in 18 of the 20 cases. The two recurrences were due to the performance of inadequate operations; recurrence was really persistent, as the femoral pad of fat was removed but the sac was missed. The positive identification of the hernial sac is imperative.

(Arch Surg 1984;119:1161-1164)


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.