[Acute appendicitis on crural hernia].
ABSTRACT Acute appendicitis in femoral hernia is an uncommon condition that can be serious.
We report the case of a 60 year-old woman presenting with an acute appendicitis in a right femoral hernia. The diagnosis was made at the time of surgery. The appendectomy was performed through the hernial sac, followed by parietal treatment of the hernia. The post-surgical course was uneventful.
Inflammation of the appendix may arise secondary to constriction in the hernial sac. It occurs most frequently in postmenopausal women and in the right groin. The preoperative diagnosis is difficult, so complications such as abscess have been reported. Appendectomy is performed easily.
Awareness of this condition may help to avoid the usual delay in diagnosis.
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ABSTRACT: Appendicitis in femoral hernia is a rare condition, which raises diagnostic challenge. A 40-year-old man presented with painful right-sided groin swelling of 1-week duration. The area was explored, with presumpted diagnosis of inguinal abscess. At exploration a femoral hernia was found which contained a mildly inflammed appendix. Appendicectomy and hernia repair was done. Post surgical course was uneventful. We present this case with brief summary of literature pertaining to such lesions. The rare occurrence of femoral hernia containing appendix may be explained by different degrees of intestinal rotation during development or variation in its attachment to the caecum. Inflammation is due to tight femoral ring. Preoperative diagnosis is difficult. Management options are diverse. We present this case because of rarity. Early surgery prevents complications.Cases Journal 02/2009; 2(1):53.
Article: Response to letterHernia 04/2012; 11(6):553-554. · 1.69 Impact Factor
Article: Response to letterHernia 11/2007; 11(6):553-554. · 1.69 Impact Factor