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The Duari hernia and recognition of the femoral vein compression sign
  1. Ian Y Goh1,
  2. Anna Louise Sandstrom1,
  3. Troy Stapleton2,
  4. Ratna Aseervatham1,
  5. David A Grieve1
  1. 1 Department of Surgery, Nambour Hospital, Nambour, Queensland, Australia
  2. 2 Department of Radiology, Nambour Hospital, Nambour, Queensland, Australia
  1. Correspondence to Dr Ian Y Goh, ian.goh{at}


Femoral hernias can be difficult to diagnose and are at high risk of strangulation. This report is of a rare case of an irreducible femoral hernia containing caecum and appendix presenting as an emergency. To the authors’ knowledge, there have only been three cases reported, the first described by Duari. This case was incorrectly diagnosed preoperatively as an inguinal hernia, so the CT diagnosis of femoral hernias is reviewed, in particular demonstrating the radiological use of the femoral vein compression sign.

  • radiology
  • general surgery
  • gastrointestinal surgery

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  • Contributors Conception and drafting of manuscript: IYG and ALS. Revising the manuscript critically for important intellectual content: ALS, DAG, RA and TS. Approval of the version of the manuscript to be published: DAG, IYG, ALS, TS, RA.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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