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Management of appendicitis in a femoral hernia

Jeffrey Shum1, Kris Croome

  • 1Division of General Surgery, The University of Western Ontario, University Hospital C8-114, 339 Windermere Rd., London, ON, Canada N6A 5A5.

International Journal of Surgery Case Reports
|January 31, 2012
PubMed

Insights

Femoral hernia appendicitis is rare and often found during surgery. This case involved dividing the inguinal ligament for reduction, followed by appendectomy and a primary McVay repair for the femoral hernia.

Area of Science:

  • Surgical Case Report
  • Abdominal Surgery
  • Hernia Repair

Background:

  • Appendicitis within a femoral hernia is an uncommon surgical presentation.
  • Diagnosis is frequently made during intraoperative exploration for incarcerated hernias.

Purpose of the Study:

  • To report a unique case of appendicitis incarcerated within a femoral hernia.
  • To describe the surgical management, including inguinal ligament division and hernia repair.

Main Methods:

  • A case presentation of a patient with incarcerated femoral hernia.
  • Surgical intervention involved division of the inguinal ligament for reduction.
  • Appendectomy was performed due to contamination.
  • Primary McVay procedure utilized for femoral hernia repair.

Main Results:

  • Successful reduction of incarcerated appendicitis.
  • Appendectomy and primary McVay repair were completed.
  • The patient tolerated the surgical procedure well.
  • Uneventful postoperative recovery and early discharge.

Conclusions:

  • Femoral hernia appendicitis necessitates specific surgical considerations.
  • Division of the inguinal ligament may be required for reduction.
  • Primary repair techniques like the McVay procedure are effective for associated hernia defects.
Keywords:
AppendicitisDe Garengeot herniaFemoralHernia

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