Which statement about femoral hernias is true?

• A. More common in women than men
• B. Bulge above the inguinal crease
• C. There is no risk of strangulation
• D. It is the most common hernia in men

Answer: (A)

The statement reflects a real anatomical and epidemiological truth: femoral hernias occur through the femoral canal, which lies just below the inguinal ligament and medial to the femoral vessels. They are more common in women because the female pelvis is wider, which enlarges the femoral canal and femoral ring, making this route for herniation more likely. The bulge typically presents in the upper thigh below the inguinal crease, not above it. A key clinical point is that femoral hernias have a relatively high risk of strangulation due to the tight, narrow confines of the femoral canal, so they are often urgent to repair. In men, inguinal hernias are more common overall, so a claim that this is the most common hernia in men would be incorrect.