Crohn's appendicitis in an incarcerated spigelian hernia.
A patient with incarcerated Crohn's appendicitis and a spigelian hernia is presented, representing the challenge in diagnosis, incision choice, and choice of definitive surgical procedure. While it is unlikely that the report of such a patient's course will make prospective recognition of this rare entity more likely, a systematic approach to this patient has allowed a satisfactory result with minimal complications.
D000328:Adult; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006555:Hernia, Ventral / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male