Adherent appendix vermiformis within an incisional hernia after kidney transplantation mimicking acute appendicitis: report of a case.
OBJECTIVE
We report a very rare case concerning a 69-year-old woman with acute onset pain in the right lower abdomen.


METHODS
Kidney transplantation for chronic renal insufficiency had been performed 4 years previously. Clinical examination and diagnostic imaging revealed an appendix-associated incisional hernia at the lateral edge of the inguinal scar. We performed a laparoscopic appendectomy and hernia repair with external knots. The postoperative course was uneventful and the patient was discharged on the 5th postoperative day in a good general condition.


CONCLUSIONS
Appendix-associated hernias are very rare but can cause severe complications in case of delayed diagnosis, particularly in patients undergoing immunosuppressive treatment.
Department for General, Visceral and Vascular Surgery, University Hospital Jena, Erlanger Allee 101, 07745, Jena, Germany. yves.dittmar@med.uni-jena.de
Y
Y
Dittmar
H
H
Scheuerlein
M
M
Götz
U
U
Settmacher
D000368:Aged; D001062:Appendectomy; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D046449:Hernia, Abdominal / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects; D000267:Tissue Adhesions / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery