Appendicitis in incarcerated femoral hernia.
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.
Barbaros
U
U
Istanbul Medical School Department of General Surgery, Istanbul University, 34390 Capa, Istanbul, Turkey. umutbarbaros@yahoo.com
Asoglu
O
O
Seven
R
R
Kalayci
M
M
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