The femoral ring is the superior opening of the femoral canal, bounded anteriorly by the inguinal ligament, medially by the lacunar ligament, laterally by the femoral vein, and posteriorly by the pectineal ligament and pectineus muscle. It is normally filled with fat and a lymph node (Cloquet's node) and is the entry point for femoral hernias.
The femoral ring is smaller in women than men, explaining the higher incidence of femoral hernias in females. A femoral hernia passes through the ring into the femoral canal and presents below the inguinal ligament medial to the femoral pulse. The ring is at risk during medial thigh approaches and femoral vessel cannulation. Cloquet's lymph node at the ring is a sentinel node for lower limb and perineal malignancy.
Peritoneal protrusion through the femoral ring producing a medial upper thigh bulge below the inguinal ligament, at high risk of strangulation due to the rigid ring boundaries.
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