About this condition
A femoral hernia occurs when tissue protrudes through a weak area near the upper thigh, typically below the groin crease. Even a small lump needs surgical assessment because of the risk of entrapment.
What matters most
Femoral and inguinal hernias lie in different anatomical locations. The appearance and size of a lump cannot reliably tell whether tissue has become trapped or whether urgent treatment is needed.
Symptoms and reasons to seek help
A swelling near the groin or upper inner thigh may be more noticeable when standing or straining. New severe pain, a firm non-reducible lump, vomiting or bloating are major warning signs.
How it differs from similar conditions
A groin lump may also reflect lymph nodes or other soft-tissue changes. Distinguishing a femoral from an inguinal hernia influences risk assessment and the discussion of surgery.
Assessment and investigations
A surgeon examines the lump and its exact position, and may request ultrasound or other imaging if the diagnosis is uncertain. The need for repair is discussed according to symptoms and risk.
Care options and limitations
Surgical management is commonly considered because femoral hernias can incarcerate or strangulate. Do not force a painful lump back inside or use pressure devices as a substitute for examination.
When emergency help is needed
A painful hard lump that cannot be reduced, skin colour change, repeated vomiting, swelling or inability to pass gas may indicate strangulation or bowel obstruction. Call 103 or 112 or attend emergency care immediately.
Related information
Bulge in the groin or around the navel; Epigastric (linea alba) hernia; Bowel obstruction; Surgical treatment of hernias.
Signs and symptoms
A swelling near the groin or upper inner thigh may be more noticeable when standing or straining. New severe pain, a firm non-reducible lump, vomiting or bloating are major warning signs.
Diagnosis and tests
A surgeon examines the lump and its exact position, and may request ultrasound or other imaging if the diagnosis is uncertain. The need for repair is discussed according to symptoms and risk.
Care and treatment approaches
Surgical management is commonly considered because femoral hernias can incarcerate or strangulate. Do not force a painful lump back inside or use pressure devices as a substitute for examination.
When to seek urgent care
A painful hard lump that cannot be reduced, skin colour change, repeated vomiting, swelling or inability to pass gas may indicate strangulation or bowel obstruction. Call 103 or 112 or attend emergency care immediately.
Frequently asked questions
How does a femoral hernia differ from an inguinal hernia?
They pass through different anatomical areas; femoral hernias have an important risk of incarceration.
Can a small femoral hernia be dangerous?
Yes. The size of the bulge does not guarantee that complications cannot develop.
Should I try to push the lump back myself?
No, especially when it is painful, hard or associated with nausea or vomiting.
Important information
A medical consultation is needed for diagnosis and treatment recommendations.
Self-treatment can be harmful to your health.
