EURORAD ESR

Case 14857

Amyand hernia in an 89-year-old female patient

Author(s)
Dr. T. Debrouwere1, Dr. P. Seynaeve2

1. Assistant Radiologist,
UZ Gasthuisberg; Leuven;
Email:thomas_debrouwere@hotmail.com
2. Radiologist,
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 hyperaemic 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 hyperaemic. (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 grey 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 hyperaemic 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 hyperaemic. (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 grey 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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