Abstract
A 79-year-old woman who had had right inguinal bulging for 2 years was brought to our hospital due to an increase in the inguinal bulging. The protrusion was 4 x 4 cm in size and was diagnosed as incarcerated femoral hernia. Manual reduction of the incarceration was not successful. A CT scan revealed incarcerated solid mass with bowel gas in the hernia sac and no sign of bowel obstruction. Since her abdominal findings were normal, we suspected that the content of the hernia was Richter type incarceration the ileum of Richter type. Operation was performed immediately. A swollen appendix was disclosed when we opened the hernia sac. Normograde appendectomy was carried out, and the posterior wall of the inguinal canal was repaired by the Proline Hernia Repair System. Pathologically the appendicitis was diagnosed as catarrhal inflammation and congestion on top of the appendix and no abscess was found. The surgical site was not infected postoperatively.
