Abstract
Most femoral hernias contain small intestine or greater omentum. We used ultrasonography to diagnose a case of femoral hernia containing appendices disturbing the blood-flow in the femoral vein. An 83-year-old woman sought consultation at this institution because of swelling and pain in the right inguinal area lasting several days. Ultrasound examination showed a cystic mass compressing the femoral vein. The mass continued as far as the vermiform appendices in the abdominal cavity. Femoral blood flow was disturbed, and moyamoya echo was visible. The diagnosis was femoral hernia containing appendices, and surgery was performed. The top of the appendices was incarcerated to the canalis femoralis and the mucosa of the strangulated portion of the appendices was necrotic, confirming the diagnosis. This case demonstrates the usefulness of ultrasonographic examination in the preoperative diagnosis of femoral hernia containing appendices.
