A 67-year-old woman has acute abdominal pain and vomiting. CT shows a femoral hernia containing bowel with reduced enhancement and surrounding fluid.

Question

A 67-year-old woman has acute abdominal pain and vomiting. CT shows a femoral hernia containing bowel with reduced enhancement and surrounding fluid. Lactate is 3.8 mmol/L. What is the most appropriate management?

Accepted Answer

Urgent surgical operation after resuscitation

Answer

Manual reduction and routine follow-up

Answer

Oral laxatives and discharge

Answer

Outpatient hernia belt fitting

Answer

Dietary advice for constipation

Strangulated femoral hernia — PARA MCQ

A 67-year-old woman has acute abdominal pain and vomiting. CT shows a femoral hernia containing bowel with reduced enhancement and surrounding fluid. Lactate is 3.8 mmol/L. What is the most appropriate management?