Abstract
We report a case of femoral hernia with incarceration of the vermiform appendix diagnosed preoperatively using CT. A 70-year-old woman was admitted to the hospital because of a right groin swelling. Physical examination revealed an elastic hardened mass in the right femoral region. Abdominal CT disclosed a right femoral hernia with incarceration of the appendix ; emergency surgery was performed. The operative findings revealed that the femoral hernia had incarcerated the vermiform appendix ; ischemic changes were noted. Appendectomy and mesh plug hernioplasty were performed. The postoperative course was uneventful, and she was discharged on the fourth hospital day. Incarceration of the appendix in femoral hernia is rare. The signs and symptoms of acute appendicitis are often overshadowed by the findings of an incarcerated hernia. CT is an accurate diagnostic modality in hernia with incarceration of the appendix. We discuss the 23 cases (including this one) reported in the Japanese medical literature.
