EURORAD ESR

Case 14857

Amyand hernia in an 89 y old female

Author(s)
Dr. T. Debrouwere, Assistant Radiologist1
Dr. P. Seynaeve, Radiologist2

1UZ Gasthuisberg; Leuven; Email:thomas_debrouwere@hotmail.com
2 AZ Groeninge; Kortrijk
 
Patient
female, 89 year(s)
 
 
  • Figure 1
    Hernia type
     

    The hernial sac extends medially to the pubic tubercle (arrow). This is pathognomic for inguinal hernia.

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hernia;

    The hernial sac (green arrow) lies laterally from the epigastric vessels (red arrow). The hernia was an indirect hernia and the femoral vein was not compressed.

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hernia;
     
     
  • Figure 2
    Axial view

    Axial view of the inguinal hernia with free fluid and an inflamed, thick walled and hyperemix appendix (arrow)

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hernia;
     
     
  • Figure 3
    Coronal view
     

    The lower border of the caecum can be seen with an inflamed mass at the lower edge (white arrow)

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hernia;

    The appendiceal wall is enlarged and hyperemic. (green arrow). We can see the hernial sac starting to form and some free fluid is also present inside the hernial sac (white arrow)

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hernia;

    The gray box shows a full view of the inguinal hernia migrating to the pubic region with an inflamed appendix inside the sac.

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hernia;
     
     
The hernial sac extends medially to the pubic tubercle (arrow). This is pathognomic for inguinal hernia.
 
The hernial sac (green arrow) lies laterally from the epigastric vessels (red arrow). The hernia was an indirect hernia and the femoral vein was not compressed.
 
Axial view of the inguinal hernia with free fluid and an inflamed, thick walled and hyperemix appendix (arrow)
 
The lower border of the caecum can be seen with an inflamed mass at the lower edge (white arrow)
 
The appendiceal wall is enlarged and hyperemic. (green arrow). We can see the hernial sac starting to form and some free fluid is also present inside the hernial sac (white arrow)
 
The gray box shows a full view of the inguinal hernia migrating to the pubic region with an inflamed appendix inside the sac.
 
 
 
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