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Epiploic appendicitis in inguinal hernia sac presenting an inguinal mass
H Kulacoglu1, H Tumer, R Aktimur
1Department of Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey. hakankulacoglu@superonline.com
Abstract:
Inguinal hernia sometimes surprises surgeons with its unexpected content. Epiploic appendagitis in hernia sac is a very rare entity. We report a 60-year-old male patient with a painless inguinal mass. Surgical exploration showed a 4-cm mass beneath the external oblique aponeurosis that consisted of a hernia sac containing an inflamed and remarkably swollen appendix epiploica of the sigmoid colon secondary to torsion. The patient recovered after the resection of epiploic appendix and a tension-free hernia repair.
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