title: Appendicitis in incarcerated femoral hernia.
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.
  
  
  CONCLUSIONS
  Surgeons should be aware of the existence of this kind of atypical presentation of appendicitis.
authors.affiliation: Istanbul Medical School Department of General Surgery, Istanbul University, 34390 Capa, Istanbul, Turkey. umutbarbaros@yahoo.com
authors.forename: U
authors.initials: U
authors.lastname: Barbaros
authors.forename: O
authors.initials: O
authors.lastname: Asoglu
authors.forename: R
authors.initials: R
authors.lastname: Seven
authors.forename: M
authors.initials: M
authors.lastname: Kalayci
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000368:Aged; D000369:Aged, 80 and over; D001062:Appendectomy / Q000379:methods; D001064:Appendicitis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006550:Hernia, Femoral / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D011300:Preoperative Care; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014463:Ultrasonography