Adherent appendix vermiformis within an incisional hernia after kidney transplantation mimicking acute appendicitis: report of a case.

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.