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Periappendicular Abscess Presenting within an Inguinal Hernia

Norman Loberant1, Amitai Bickel2

  • 1Department of Radiology, Galilee Medical Center, Nahariya, Israel ; Bar Ilan University Medical Faculty in the Galilee, Safed, Israel.

Journal of Clinical Imaging Science
|November 26, 2015
PubMed

Insights

Appendicitis occurring within an inguinal hernia is rare. This case highlights successful antibiotic and drainage treatment for an elderly patient with an appendiceal abscess in an inguinal hernia.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Inguinal hernias are common, but containing the appendix is infrequent.
  • Appendicitis is inflammation of the appendix, typically presenting with abdominal pain.

Observation:

  • An elderly female presented with symptoms suggestive of appendicitis.
  • Imaging revealed the appendix was located within an inguinal hernia.
  • A periappendicular abscess had formed within the hernia.

Findings:

  • The patient was diagnosed with appendicitis within an inguinal hernia.
  • A supervening periappendicular abscess complicated the presentation.
  • Successful management was achieved through antibiotics and percutaneous drainage.

Implications:

  • This case underscores the importance of considering appendicitis in patients with inguinal hernias, especially if symptoms are atypical.
  • Non-operative management with antibiotics and percutaneous drainage can be effective for abscesses in this location.
  • Highlights a rare surgical complication and its successful resolution.
Keywords:
Amyand's herniaappendicitisinguinal herniaperiappendicular abscess

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