Tumour of the vermiform appendix strangulated in the femoral hernia: a case report
DOI:
https://doi.org/10.21164/pomjlifesci.856Keywords:
strangulated femoral hernia, de Garengeot hernia, tumour of the vermiform appendix, appendiceal mucinous neoplasm with high-grade dysplasiaAbstract
Strangulation of the vermiform appendix into the femoral hernia sac (de Garengeot hernia) is very rare. This article presents a case of a 63-year-old woman with this kind of hernia which contained a strangulated tumour of the appendix. The patient presented to the hospital with a 3-day-long history of a palpable lump in the right groin. She had no other significant complaints, but USG imaging showed suspicion of the strangulated femoral hernia containing a bowel. The patient was operated on. As the tumour was not suitable to remove via groin incision, laparotomy was performed, followed by a release of the appendix with the tumour and their resection together with a fragment of the caecum. The postoperative course was uneventful, and histological examination showed appendiceal mucinous neoplasm with high-grade dysplasia. After oncological consultation, the patient underwent prophylactic right hemicolectomy.References
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