Case presentation An 81-year-old man with a history of childhood repair of cardiac septal defect presented to the emergency department with a two-day history of vague abdominal pain migrating to his right groin and an associated non-reducible right groin mass. Clinical investigations On clinical examination, a firm, tender, and non-reducible right inguinal mass was noted. The results of all other clinical and laboratory tests were within the normal range. CT scan of the abdomen and pelvis revealed a dilated appendix with a diameter of 13 mm and showed periappendiceal fat stranding with no evidence of rupture (Cover image).
A diagnostic transabdominal laparoscopy was performed to visualize the right lower quadrant of the abdomen and inspect the hernia. Based on the CT scan image and clinical investigations, what is your diagnosis for this patient? Crohn's disease Epigastric hernia…
