Appendicitis in femoral hernia (Case report)

Abstract

Herniation of the appendix into the femoral hernia sac is unusual. An 65 years old woman presented with acu¬te appendicitis in a right strangulated femoral hernia. The hernia was diagnosed preoperaiively, but the gangrenous appendix was found only at operation. The symptoms of appendicitis are over shadowed by findings of the incarce¬rated femoral hernia. There were no abdominal signs or symptoms. Treatment is controversial, but appendectomy and Cooper ligament herniorrhaphy has definite advantages.