It is a very rare disease with difficulties in diagnosis and therapy. Incarcerated femoral hernia containing the vermiform appendix. It may present as a tender andor erythematous groin swelling and is often misdiagnosed as an. Abstract hernias are frequent consultation reasons in surgery. It may present as a tender andor erythematous groin swelling and is often misdiagnosed as an incarcerated or strangulated femoral hernia. We report a case of a 59 yearold woman with a oneyear history of a right irreducible. Jun 06, 2019 this rare hernia usually presents with both diagnostic and therapeutic dilemmas. This unique surgical finding is most often found intraoperatively due to the similarities it shares with an irreducible inguinal or femoral hernia that.
In earlier reports operative treatment invariably involves simultaneous. Pdf femoral hernia accounts for only 3% of all the hernias and in only 0. Surgery confirmed right femoral hernia containing necrotic appendix consistent with a rare case of. Appropriate management without incurring any delay for radiological imaging can be promising for an. It is a rare phenomenon, with only 1% of all femoral hernias containing the appendix and usually found incidentally at surgery, and only 0. This anatomical phenomenon is thought to occur in as few as 0. It is distinct from amyands hernia, in which the appendix is within an inguinal hernia sac. Risk factors include a long pelvic appendix, abnormal embryological bowel rotation, and a large mobile caecum. We then turned our attention to the right inguinal swelling. We report the case of a 66yearold caucasian woman who presented with acute appendicitis within an incarcerated femoral hernia.
It is infrequent to find the appendix inside the femoral canal, location presented in 0. Laparoscopic view of the femoral hernia with the incarcerated garengeor. High index of suspicion by virtue of awareness of this condition can enable the surgeon to make a presumptive preoperative diagnosis. On the other hand, amyands hernia contains the inflamed vermiform appendix simulating a strangulated hernia. Even rarer is the presence of appendicitis within the hernia sac. The sac was opened and seropurulent fluid was evacuated. This eponym may be used to describe the incarceration of the vermiform appendix within a femoral hernia. It is a rare phenomenon, with only 1% of all femoral hernias containing the appendix and. It is often difficult to diagnose this condition preoperatively. In earlier reports operative treatment invariably involves simultaneous appendicectomy and. In the literature, there are mostly singlecase reports. This rare hernia usually presents with both diagnostic and therapeutic dilemmas. Epidemiology it is a rare phenomenon, with only 1% of all femoral hernias contain.
Two case reports with correct preoperative identification of the vermiform appendix in the hernia zhaoshengjin,muhammadrafizimtiaz,henrynnajiuba, suzettesamlalsingh,andakinyedeojo department of surgery, king george hospital, barking, havering and redbridge nhs trust, romford, uk. Majority of such cases are diagnosed intra operatively. It is not to be confused with amyand hernia, which is an appendixcontaining inguinal hernia. View enhanced pdf access article on wiley online library html view download pdf for offline viewing.
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