Physical examination is the first line of diagnosis to test the external femoral bulge. The bulge will be examined for its texture, size and protrusion. Your doctor will check for skin discolouration, inflammation or dark patches on the surface of the bulge to rule out gangrene (death of tissue). However, your doctor may find it difficult to feel the bulge if it’s small in size.
If the hernia cannot be detected with physical examination, your doctor may order ultrasound of the abdomen or groin. Other imaging tests such as diagnostic X-rays, magnetic resonance imaging (MRI) or computer tomography (CT) scan may be performed to check for the protruding issue.
Laboratory tests may be suggested to confirm serious femoral hernias.