Abstract
An 80-year-old man visited our hospital complaining of a right inguinal tumor with tenderness and loss of appetite for several days.
The inguinal tumor had strong tenderness, although peritoneal signs were not observed in the abdomen. Abdominal computed tomography (CT) scan showed wall thickening of the ileocecal region, slight swelling of the appendix and liquid accumulation in an inguinal hernia sac. Furthermore, the blood examination showed a high degree of inflammatory reaction.
He was thus diagnosed as incarceration of an inguinal hernia accompanied by intestine or greater-omentum necrosis, or appendicitis. An urgent operation was performed.
Operative diagnosis was an indirect inguinal hernia and abscess formation in a hernia sac. Since appendicitis was suspected as a cause of the abscess, the operative wound was extended and an appendectomy was performed.
We experienced a rare case of appendicitis with symptoms of incarceration from abscess formation in an inguinal hernia sac.
