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Unusual presentation of more common disease/injury
CASE REPORT
Vermiform appendix within incisional hernia
  1. Aaron Kler1,
  2. Naveed Hossain2,
  3. Sandeep Singh3,
  4. Rosaria Scarpinata4
  1. 1General Surgery, Princess Royal University Hospital, Orpington, Kent, United Kingdom
  2. 2Department of General Surgery, Princess Royal University Hospital, Orpington, UK
  3. 3General Surgery, Princess Royal University Hospital, Orpington, Kent, United Kingdom
  4. 4General Surgery, Princess Royal University Hospital, Orpington, Kent, United Kingdom
  1. Correspondence to Dr Aaron Kler, aaron.kler{at}nhs.net

Summary

The vermiform appendix (whether inflamed or not) within a hernia is very rare occurrence. We present the unprecedented case of a normal appendix found within a Pfannenstiel incisional hernia. A diagnostic laparoscopy was performed as appendicitis was suspected. However, the tip of a normal appendix was visualised within a previous Pfannenstiel incision. Laparoscopic appendicectomy was carried successfully and the patient was discharged. The patient later returned for a successful elective laparoscopic incisional hernia repair.

  • General Surgery
  • Radiology

https://doi.org/10.1136/bcr-2017-221216

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    Footnotes

    • Contributors AK: acquired all of the information, drafted the article and revised it after corrections and review from other authors. NH: assisted in drafting the article and assisted in revision. SS: assisted in the drafting of the article and acquiring of the patient information. RS: approved the final version for submission.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.