Erschienen in:
01.06.2012 | Case Report
Adherent appendix vermiformis within an incisional hernia after kidney transplantation mimicking acute appendicitis: report of a case
verfasst von:
Y. Dittmar, H. Scheuerlein, M. Götz, U. Settmacher
Erschienen in:
Hernia
|
Ausgabe 3/2012
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Abstract
Purpose
We report a very rare case concerning a 69-year-old woman with acute onset pain in the right lower abdomen.
Patient history
Kidney transplantation for chronic renal insufficiency had been performed 4 years previously. Clinical examination and diagnostic imaging revealed an appendix-associated incisional hernia at the lateral edge of the inguinal scar. We performed a laparoscopic appendectomy and hernia repair with external knots.
The postoperative course was uneventful and the patient was discharged on the 5th postoperative day in a good general condition.
Conclusions
Appendix-associated hernias are very rare but can cause severe complications in case of delayed diagnosis, particularly in patients undergoing immunosuppressive treatment.