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Appendicitis in external herniae

W E Thomas, K D Vowles, R C Williamson

    Annals of the Royal College of Surgeons of England
    |March 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Acute appendicitis can occur within external hernias, particularly in older adults. Diagnosis before surgery is challenging, with most cases requiring surgical intervention and some resulting in wound infections.

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    Area of Science:

    • Surgery
    • Gastroenterology
    • Emergency Medicine

    Background:

    • Appendicitis is a common surgical emergency.
    • Hernias are potential sites for unusual presentations of abdominal pathology.
    • External hernias can contain intra-abdominal organs or tissues.

    Purpose of the Study:

    • To report on cases of acute appendicitis occurring within external hernial sacs.
    • To highlight the diagnostic challenges associated with this rare presentation.
    • To review outcomes in patients with appendicitis in hernias.

    Main Methods:

    • Case series reporting on seven patients.
    • Review of clinical presentation, surgical findings, and outcomes.
    • Analysis of hernia type and location.

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    Main Results:

    • Seven patients (average age 69) presented with appendicitis in external hernias.
    • Common sites included right femoral (4 cases) and right indirect inguinal hernias (3 cases).
    • Preoperative diagnosis was not achieved in any case; wound infection occurred in 3 patients.

    Conclusions:

    • Appendicitis in an external hernial sac is a rare condition often presenting in elderly patients.
    • Accurate preoperative diagnosis is difficult, necessitating high clinical suspicion.
    • Surgical management is required, with potential for postoperative complications like wound infection.