Abstract
We report a case of right femoral hernia in which an epiploic appendage of the sigmoid colon was incarcerated.
An 82-year-old man with a 5-day history of a right inguinal bulge was seen at the hospital. An eggsized tumor with tenderness was identified at the right inguinal region, but abdominal symptoms were absent. Incarceration of the greater omentum in the right femoral hernia and hemorrhage in the hernia sac were suspected from the above findings together with abdominal CT findings. The patient was admitted to the hospital on the next day and underwent an operation. At operation, incarceratiom of an epiploic appendage of the sigmoid colon in a right femoral hernia was diagnosed. The swollen hernia sac was dark red in color and bloody ascites was identified in the hernia sac, but inflammation of the epiploic appendage was mild. Thus the epiploic appendage was resected and the hernia was repaired by using PROLENE® hernia system.
