title: An unusual presentation of Meckel diverticulum as strangulated femoral hernia.
abstract: We report an unusual case of a patient with strangulated Meckel diverticulum in a femoral hernia. A 65-year-old woman presented with a nonradiating, constant pain in the right groin with associated nausea and anorexia. Physical examination revealed a tender, irreducible lump in the right groin area. At operation, a hernia sac containing a strangulated Meckel diverticulum was clearly recognized going through the femoral ring. A diverticulectomy was performed, and the femoral ring was closed with a polypropylene plug. No recurrence has been observed during the 3 year follow-up. Strangulated Meckel diverticulum in a femoral hernia remains a challenging diagnosis due to its extremely rare occurrence. Surgical exploration provides definite diagnosis of this rare condition.
authors.affiliation: Surgical Unit, General District Hospital of Veroia, Veroia, Macedonia, Greece.
authors.forename: Evangelos
authors.initials: E
authors.lastname: Zacharakis
authors.forename: Vasilios
authors.initials: V
authors.lastname: Papadopoulos
authors.forename: Thanos
authors.initials: T
authors.lastname: Athanasiou
authors.forename: Paul
authors.initials: P
authors.lastname: Ziprin
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Zacharakis
mesh_terms: D000368:Aged; D005260:Female; D005734:Gangrene; D006550:Hernia, Femoral / Q000150:complications* / Q000601:surgery; D006801:Humans; D008467:Meckel Diverticulum / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery