Femoral appendicitis: an unusual case.
The presentation of acute appendicitis in a strangulated femoral hernia is rare. The authors describe what they believe is the first reported case of necrotizing fasciitis as a consequence of a gangrenous appendix in this situation. An 80-year-old woman presented with crepitant cellulitis of her right thigh with fever and leukocytosis, leading to a preoperative diagnosis of necrotizing fasciitis. Intraoperatively, an unsuspected gangrenous appendix was found in an incarcerated femoral hernia. A knowledge of the existence of this rare and serious condition will avoid delay in its recognition and management.
Department of Surgery, Ottawa Civic Hospital, University of Ottawa, Ont.
E M
EM
Guirguis
G A
GA
Taylor
C D
CD
Chadwick
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D001064:Appendicitis / Q000150:complications* / Q000175:diagnosis; D005208:Fasciitis / Q000209:etiology*; D005260:Female; D006550:Hernia, Femoral / Q000150:complications*; D006801:Humans; D009336:Necrosis; D014102:Torsion Abnormality