Bifemoral hernias concurrent with direct and indirect inguinal hernias in a single patient; A case report

Bilateral femoral and inguinal hernias are a rare co-occurrence related to abdominal wall pathology, and can lead to various complications such as incarceration, strangulation and high postoperative recurrence. This article presents a patient who complained of bilateral pain and pseudotumoral formations of the inguinal areas, being diagnosed during surgical intervention with bilateral femoral hernias in association with bilateral (direct and indirect) inguinal hernias. Generally, the laparoscopic method is reported to have several advantages, such as less postoperative pain, fewer postoperative infections, and rapid return to daily activities. In the presented case, the surgical team performed an open/Lichtenstein operation, due to the patient's age, shorter operating time, lower likelihood of recurrence and postoperative complications, as well as low cost. Considering the significant morbidity/mortality rates of multiple and complicated hernias, it is necessary that an accurate diagnosis and appropriate treatment be instituted as early as possible.