A 59-year-old man presented to the emergency department with acute abdominal pain, right groin mass, along with nausea and vomiting that started 24 hours before the presentation. The patient has a history of previously reducible right inguinal hernia for three years. He described the hernia as painless and reducible but recently causing a constant sharp pain that worsened with movement.
Examination Afebrile and hemodynamically stable High normal white count: 10.8 Abdomen: Distension with right lower quadrant tenderness, tender, and non-reducible right inguinal mass CT scan: A right incarcerated inguinal hernia with herniated loops of bowel within the right inguinal region While the patient was being operated for the right inguinal hernia, the vermiform appendix displayed mild-to-moderate inflammation. Hence, the patient underwent an appendectomy and hernia repair with propylene mesh…
