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An unusual case of appendicitis
E Fitzgerald1, P Neary, K C Conlon
1Professorial Surgical Unit, Adelaide and Meath Hospital, Tallaght, Dublin.
Background:
Acute appendicitis in elderly patients often presents late and atypically. Presentation as an incarcerated femoral hernia is rare.
Aim:
To describe the management of an elderly patient presenting with acute appendicitis in an incarcerated femoral hernia.
Methods:
The femoral canal was explored and the hernia repaired. Formal appendicectomy was performed via a midline laparotomy incision.
Results:
Histological examination confirmed the diagnosis of acute appendicitis.
Conclusion:
Unusual clinical presentations of acute appendicitis represent an interesting diagnostic challenge.
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