The Journal of Emergency Medicine
Volume 23, Issue 1 , Pages 15-18 , July 2002

Acute appendicitis in a femoral hernia: an unusual presentation of a groin mass1

  • Lawrence E Isaacs, MD

      Affiliations

    • Department of Emergency Medicine, Temple University Hospital, Philadelphia, Pennsylvania, USA
    • Corresponding Author InformationReprint Address: Lawrence E. Isaacs, MD, FAAEM, Department of Emergency Medicine, Temple University Hospital, Jones Hall—10th Floor, Park Avenue and Ontario Street, Philadelphia, PA 19140, USA
    • ,
  • Chad H Felsenstein, MD

Received 23 March 2001 ,Revised 28 September 2001 ,Accepted 30 October 2001.

References 

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  2. Horattas MC, Guyton DP, Wu D. A reappraisal of appendicitis in the elderly. Am J Surg. 1990;160:291–293
  3. Burns RP, Cochran JL, Russell WL, Bard RM. Appendicitis in mature patients. Ann Surg. 1985;201:695–702
  4. Garland EA. Femoral appendicitis. J Indiana Med Assoc. 1955;48:1292–1294
  5. Naude GP, Ocon S, Bongard F. Femoral hernia (the dire consequences of a missed diagnosis). Am J of Emerg Med. 1997;15:7:680–7:682
  6. Voitk AJ, MacFarlane JK, Estrada RL. Ruptured appendicitis in femoral hernias (report of two cases and review of the literature). Ann Surg. 1974;179:24–26
  7. Zissin R, Brautbar O, Shapiro-Feinberg M. CT diagnosis of acute appendicitis in a femoral hernia. Br J Radiol. 2000;73:1013–1014
  8. Khatib CM. Strangulated femoral hernia containing acute gangrenous appendicitis (case report and review of the literature). Can J Surg. 1987;30:50
  9. Burger TO, Torbert NC. The diagnosis of acute hernial appendicitis. Am J Surg. 1938;42:429
  10. Rose RH, Cosgrove JM. Perforated appendix in the incarcerated femoral hernia. A place for preperitoneal repair. NY State J Med. 1988;88:600–602
  11. Watkins RM. Appendix abscess in a femoral hernial sac—case report and review of the literature. Postgrad Med J. 1981;57:306–307
  12. Hartley BE, Davies MS, Bowyer RC. Strangulated appendix in an obturator hernia presenting as gas gangrene of the thigh. Br J Surg. 1994;81:1135
  13. Guirguis EM, Taylor GA, Chadwick CDJ. Femoral appendicitis (an unusual case). Can J Surg. 1989;32:380–381
  14. Griffin JM. Incarcerated inflamed appendix in a femoral hernia sac. Am J Surg. 1968;115:364–366
  15. Serrano A, Ackerman N. Perforated appendicitis in an incarcerated inguinal hernia. Arch Surg. 1979;114:968
  16. Bachy TO, Rabourdin C. Acute appendicitis occurring in hernias (a report of ten cases). Surgery. 1967;61:236–238
  17. Carey LC. Acute appendicitis occurring in hernias (a report of ten cases). Surgery. 1967;61:236–238
  18. Wyatt JP, Varma JS. Femoral hernia appendix causing small intestinal obstruction. Postgrad Med J. 1992;68:223–224
  19. Davies MG, O’Byrne P, Stephens RB. Perforated appendicitis presenting as an irreducible inguinal hernia. Br J Clin Pract. 1990;44:494–495
  20. Antimicrobial prophylaxis in surgery. Med Lett Ther. 1993;35:91–94

PII: S0736-4679(02)00455-9

The Journal of Emergency Medicine
Volume 23, Issue 1 , Pages 15-18 , July 2002

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