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    Epiploic Appendagitis in an Incarcerated Inguinal Hernia: A Case Report and Literature Review.

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    Author
    Husain, Najam
    Bhatia, Vilomi
    Rahman, Muhammed
    Keyword
    Appendagitis Epiploica
    Incarcerated Appendagitis Epiploica
    Incarcerated Right Inguinal Hernia
    Right Inguinal Hernia
    Sigmoid Colon
    Tinea Coli
    
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    Publisher's URL
    https://www.cureus.com/
    Abstract
    Epiploic appendagitis (EA) is a rare and frequently overlooked cause of abdominal pain. EA within the sigmoid colon in a right-sided inguinal hernia is a rare entity with only a few cases reported. In this article, we present a case of an 80-year-old male with a palpable mass within an incarcerated right inguinal hernia. The patient underwent urgent surgical intervention due to incarceration and the operative findings were of a large indirect inguinoscrotal hernia containing sigmoid colon, with an inflamed epiploic appendage. The colon was reduced into the abdominal cavity and standard tension-free Lichtenstein repair was performed. EA should be a consideration in patients with an acute abdomen as well as those with a painful groin lump. CT is diagnostic; however, emergency surgery should not be delayed for a scan if the hernia is irreducible and tender.
    Citation
    Cureus. 2022 Jan 11;14(1):e21139. doi: 10.7759/cureus.21139. eCollection 2022 Jan.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/15277
    Collections
    General Surgery and Urology

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