Y Dittmar1, H Scheuerlein, M Götz, U Settmacher. 1. Department for General, Visceral and Vascular Surgery, University Hospital Jena, Erlanger Allee 101, 07745, Jena, Germany. yves.dittmar@med.uni-jena.de
Abstract
PURPOSE: We report a very rare case concerning a 69-year-old woman with acute onset pain in the right lower abdomen. PATIENT HISTORY: Kidney transplantation for chronic renal insufficiency had been performed 4 years previously. Clinical examination and diagnostic imaging revealed an appendix-associated incisional hernia at the lateral edge of the inguinal scar. We performed a laparoscopic appendectomy and hernia repair with external knots. The postoperative course was uneventful and the patient was discharged on the 5th postoperative day in a good general condition. CONCLUSIONS: Appendix-associated hernias are very rare but can cause severe complications in case of delayed diagnosis, particularly in patients undergoing immunosuppressive treatment.
PURPOSE: We report a very rare case concerning a 69-year-old woman with acute onset pain in the right lower abdomen. PATIENT HISTORY: Kidney transplantation for chronic renal insufficiency had been performed 4 years previously. Clinical examination and diagnostic imaging revealed an appendix-associated incisional hernia at the lateral edge of the inguinal scar. We performed a laparoscopic appendectomy and hernia repair with external knots. The postoperative course was uneventful and the patient was discharged on the 5th postoperative day in a good general condition. CONCLUSIONS: Appendix-associated hernias are very rare but can cause severe complications in case of delayed diagnosis, particularly in patients undergoing immunosuppressive treatment.
Authors: Dhairya A Lakhani; Jafar Dada; Aneri B Balar; Ahsan U Khan; Zalak Patel; Brian Markovich; Thuan-Phuong Nguyen Journal: Radiol Case Rep Date: 2021-05-01