Femoral sheath laid open to show its three compartments. (The femoral canal is both visible and labeled [difficult to see label] medial to the femoral vein.)
Structures passing behind the inguinal ligament. The entrance to the femoral canal, the femoral ring, is labeled at right.
The position of the femoral canal medially to the femoral vein is of physiologic importance. The space of the canal allows for the expansion of the femoral vein when venous return from the lower limbs is increased or when increased intra-abdominal pressure (Valsalva maneuver) causes a temporary stasis in the venous flow.
Clinical significance
The entrance to the femoral canal is the femoral ring, through which bowel can sometimes enter, causing a femoral hernia. Though femoral hernias are rare, their passage through the inflexible femoral ring puts them at particular risk of strangulation, giving them surgical priority.
