U Barbaros1, O Asoglu, R Seven, M Kalayci. 1. Istanbul Medical School Department of General Surgery, Istanbul University, 34390 Capa, Istanbul, Turkey. umutbarbaros@yahoo.com
Abstract
BACKGROUND: Femoral hernia can rarely present with the content of appendicitis. We report on an elderly female who was admitted to our emergency department with a painful groin mass. METHODS: An 85-year-old woman presented with a 7-day history of right groin pain and swelling. She also had complaints of nausea, vomiting, and right lower quadrant abdominal pain. Physical examination revealed a right groin mass in the femoral region, which was painful on examination. Abdominal examination ended with normal findings except bilateral lower quadrant tenderness. Ultrasonographic examination revealed a hernia sac containing suspected aperistaltic bowel segment with edematous wall. RESULTS: The patient underwent surgery. During exploration of the right groin region, a strangulated femoral hernia sac containing appendicitis was detected. CONCLUSION: Surgeons should be aware of the existence of this kind of atypical presentation of appendicitis.
BACKGROUND:Femoral hernia can rarely present with the content of appendicitis. We report on an elderly female who was admitted to our emergency department with a painful groin mass. METHODS: An 85-year-old woman presented with a 7-day history of right groin pain and swelling. She also had complaints of nausea, vomiting, and right lower quadrant abdominal pain. Physical examination revealed a right groin mass in the femoral region, which was painful on examination. Abdominal examination ended with normal findings except bilateral lower quadrant tenderness. Ultrasonographic examination revealed a hernia sac containing suspected aperistaltic bowel segment with edematous wall. RESULTS: The patient underwent surgery. During exploration of the right groin region, a strangulated femoral hernia sac containing appendicitis was detected. CONCLUSION: Surgeons should be aware of the existence of this kind of atypical presentation of appendicitis.
Authors: V Kalles; A Mekras; D Mekras; I Papapanagiotou; W Al-Harethee; G Sotiropoulos; P Liakou; A Kastania; T Piperos; T Mariolis-Sapsakos Journal: Hernia Date: 2012-09-16 Impact factor: 4.739
Authors: Timothy M Guenther; Christina M Theodorou; Nalani L Grace; Tanya N Rinderknecht; James E Wiedeman Journal: Surg Endosc Date: 2020-09-02 Impact factor: 4.584