PMC5587892_01
Contrast-enhanced CT, sagittal oblique reconstruction showing a right femoral hernia containing the appendix. The appendix is well seen from its origin at the base of the caecum, going down towards the hernia. Fluid effusion is also seen along the herniated sac.
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Tomography (CT) of the abdomen that showed a right femoral hernia containing the appendix, with associated fluid effusion in the herniated sac (Fig. 1). The appendix was followed from its origin on the caecum down to the hernia, best seen on sagittal oblique reconstructions.
Intra-operative picture showing the femoral hernia's sac containing the extremity of the appendix.
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The vermiform appendix was incarcerated within the sac and its extremity showed signs of necrosis (Fig. 2).
A laparoscopic appendectomy was performed after the appendix was pushed back into the abdominal cavity.
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Thus, we chose to drive the appendix back into the abdominal cavity and then performed a laparoscopic appendectomy (Fig. 3).