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Case Reports
. 2016 Jan 14:9:5-7.
doi: 10.2147/IMCRJ.S92305. eCollection 2016.

A young man with concurrent acute appendicitis and incarcerated right indirect inguinal hernia

Chagkrit Ditsatham  1 , Areewan Somwangprasert  1 , Kirati Watcharachan  1 , Phanchaporn Wongmaneerung  1
Affiliations
Case Reports

A young man with concurrent acute appendicitis and incarcerated right indirect inguinal hernia

Chagkrit Ditsatham et al. Int Med Case Rep J. .

Abstract

Objective: Acute appendicitis and incarcerated hernia rarely present in the same episode. Our study reports patient presentation, diagnosis method, and treatment of an unusual case at the Chiang Mai University Hospital.

Method: Case report.

Result: A 20-year-old man visited the Chiang Mai University Hospital with right lower quadrant pain and a right groin mass which could not be reduced. The computerized tomography scan showed acute appendicitis and omentum in the hernia sac. Operative treatment was an appendectomy and herniorrhaphy. The treatment was successful, and the patient was discharged from our hospital without any complications.

Conclusion: Concurrent acute appendicitis and incarcerated hernia are very rare, but should be kept in mind if a patient presents with right lower quadrant pain and a right groin mass. Further investigation may be helpful if the diagnosis is uncertain. Operative priority treatment depends on each individual case.

Keywords: combined acute appendicitis and incarcerated inguinal hernia.

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Figures

Figure 1
Figure 1
Dilated appendix, size 1.5 cm in maximal diameter (arrow).
Figure 2
Figure 2
Computerized tomography scan showing hernia extending through the scrotal sac (arrow).
Figure 3
Figure 3
Surgical incisions.
See this image and copyright information in PMC

References

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