BACKGROUND: Acute appendicitis in elderly patients often presents late and atypically. Presentation as an incarcerated femoral hernia is rare. AIM: To describe the management of an elderly patient presenting with acute appendicitis in an incarcerated femoral hernia. METHODS: The femoral canal was explored and the hernia repaired. Formal appendicectomy was performed via a midline laparotomy incision. RESULTS: Histological examination confirmed the diagnosis of acute appendicitis. CONCLUSION: Unusual clinical presentations of acute appendicitis represent an interesting diagnostic challenge.
BACKGROUND:Acute appendicitis in elderly patients often presents late and atypically. Presentation as an incarcerated femoral hernia is rare. AIM: To describe the management of an elderly patient presenting with acute appendicitis in an incarcerated femoral hernia. METHODS: The femoral canal was explored and the hernia repaired. Formal appendicectomy was performed via a midline laparotomy incision. RESULTS: Histological examination confirmed the diagnosis of acute appendicitis. CONCLUSION: Unusual clinical presentations of acute appendicitis represent an interesting diagnostic challenge.
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