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THE FEMORAL CANAL
Dr M Idris Siddiqui
THE FEMORAL CANAL
• The femoral canal is the smallest anatomical
compartment, located in most medial part of
the femoral sheath.
• It is approximately 1.3cm long.
• The opening to the femoral canal is located at its
superior border, known as the femoral ring.
– The femoral ring is closed by a connective tissue layer –
the femoral septum.
– This septum is pierced by the lymphatic vessels exiting
the canal. Cloquet’s node is a lymph node situated in the
femoral canal.
Borders
• The femoral canal is located in the anterior thigh,
within the femoral triangle. It can be thought of as
a rectangular shaped compartment.
• It has four borders and an opening:
– Medial border – Lacunar ligament.
– Lateral border – Femoral vein.
– Anterior border – Inguinal ligament.
– Posterior border – Pectineal ligament, superior ramus of
the pubic bone, and the pectineus muscle
FEMORAL CANAL
• Below the inguinal ligament, the
canal is located posterior to the
saphenous opening and thin
cribriform fascia, and anterior to the
fascia covering the pectineus muscle.
Femoral ring
• The opening to the femoral canal is located at
its superior border, known as the femoral
ring.
• The femoral ring is closed by a connective
tissue layer – the femoral septum.
• This septum is pierced by the lymphatic
vessels exiting the canal.
• Cloquet’s node is a lymph node situated in the
femoral canal.
Femoral sheath
Contents
• The femoral canal contains:
–Lymphatic vessels – draining the deep inguinal
lymph nodes.
–Deep lymph node – the lacunar node.
–Empty space.
–Loose connective tissue.
–The empty space allows distension of the
adjacent femoral vein, so it can cope with
increased venous return, or increased intra-
abdominal pressure.
Clinical Relevance: Femoral Hernia
• The femoral canal is of particular clinical importance,
as it a common site of bowel herniation.
• In a femoral hernia, part of the small intestine
protrudes through the femoral ring.
• It presents as a lump situated inferolaterally to
the pubic tubercle.
– This type of herniation is more common in women, due to
their wider bony pelvis.
• The borders of the femoral canal are tough, and not
particularly extendible. This can compress the hernia,
interfering with its blood supply. A hernia with a
compromised blood supply is known as
a strangulated hernia
The femoral canal
The femoral canal
The femoral canal
The femoral canal

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The femoral canal

  • 1. THE FEMORAL CANAL Dr M Idris Siddiqui
  • 2. THE FEMORAL CANAL • The femoral canal is the smallest anatomical compartment, located in most medial part of the femoral sheath. • It is approximately 1.3cm long. • The opening to the femoral canal is located at its superior border, known as the femoral ring. – The femoral ring is closed by a connective tissue layer – the femoral septum. – This septum is pierced by the lymphatic vessels exiting the canal. Cloquet’s node is a lymph node situated in the femoral canal.
  • 3. Borders • The femoral canal is located in the anterior thigh, within the femoral triangle. It can be thought of as a rectangular shaped compartment. • It has four borders and an opening: – Medial border – Lacunar ligament. – Lateral border – Femoral vein. – Anterior border – Inguinal ligament. – Posterior border – Pectineal ligament, superior ramus of the pubic bone, and the pectineus muscle
  • 4. FEMORAL CANAL • Below the inguinal ligament, the canal is located posterior to the saphenous opening and thin cribriform fascia, and anterior to the fascia covering the pectineus muscle.
  • 5. Femoral ring • The opening to the femoral canal is located at its superior border, known as the femoral ring. • The femoral ring is closed by a connective tissue layer – the femoral septum. • This septum is pierced by the lymphatic vessels exiting the canal. • Cloquet’s node is a lymph node situated in the femoral canal.
  • 6.
  • 8. Contents • The femoral canal contains: –Lymphatic vessels – draining the deep inguinal lymph nodes. –Deep lymph node – the lacunar node. –Empty space. –Loose connective tissue. –The empty space allows distension of the adjacent femoral vein, so it can cope with increased venous return, or increased intra- abdominal pressure.
  • 9.
  • 10. Clinical Relevance: Femoral Hernia • The femoral canal is of particular clinical importance, as it a common site of bowel herniation. • In a femoral hernia, part of the small intestine protrudes through the femoral ring. • It presents as a lump situated inferolaterally to the pubic tubercle. – This type of herniation is more common in women, due to their wider bony pelvis. • The borders of the femoral canal are tough, and not particularly extendible. This can compress the hernia, interfering with its blood supply. A hernia with a compromised blood supply is known as a strangulated hernia