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Appendicitis within the contents of an incarcerated paraumbilical hernia
  1. Artemis Zormpa1,
  2. Maryam Alfa-Wali2 and
  3. Alex Chung1
  1. 1 St George’s Hospital, London, UK
  2. 2 Surgery and Cancer, Imperial College London, London, UK
  1. Correspondence to Dr Maryam Alfa-Wali, m.alfa{at}


A 30-year-old woman known to have a paraumbilical hernia presented with central abdominal pain and vomiting. On examination, she was tender around the umbilical area, and a lump was felt on the umbilicus with associated skin changes. A CT scan was performed which showed an inflamed appendix within an incarcerated paraumblical hernia.

  • general surgery
  • gastrointestinal surgery
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  • Contributors AZ and MA-W: literature search and review of the article. AC: overall review and editing of the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

  • Patient consent for publication Obtained.

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