Perforated vermiform appendix in an inguinal hernia

Abstract

We present an unusual case of perforated appendix in an inguinal hernia sac. We considered the patient as ha¬ving a strangulated small bowel hernia until the laparotomy revealed a perforated appendix in the sac. The possibi¬lity of appendicitis and its perforation within the sac should be kept in mind when there is a suggestive history, as was in our case. Exploring the groin before opening the abdominal cavity will be more appropriate, because of reduc¬ing peritoneal contamination in the presence of appendix perforation in the hernia sac.