Laparoscopic Repair of Femoral Hernia with Incarceration of the Appendix: A Case Report

Ryo Ohta, Masataka Oneyama, Yasumasa Takahashi, Yuichi Kawahara, Masaya Kitamura, Manabu Goto and Koji Sekikawa

Department of Surgery, Institute of Gastroenterology, Kawasaki Saiwai Hospital

A 72-year-old woman admitted for right inguinal hernia and found in abdominal computed tomography (CT) to have an incarcerated right femoral hernia containing the vermiform appendix in the hernia sac could not be aided manually. Because past of a long time from appearance of disease and suggestive of gangrenous appendicitis, so we required surgery. We first exfoliated the hernia sac and repaired the hernia with mesh in the preperitoneal space using totally extraperitoneal preperitoneal repair (TEPP), followed by laparoscopic appendectomy. She had no complications and was discharged on postoperative day4. It is extremely rare case for the appendix to be incarcerated in a femoral hernia.

Key words
femoral hernia, incarceration of appendix

Reprint requests
Ryo Ohta Department of Surgery, Institute of Gastroenterology, Kawasaki Saiwai Hospital
39-1 Miyakocho, Saiwaiku, Kawasaki, 212-0021 JAPAN

Accepted
February 18, 2009

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