Presenting complaints: A 50-year-old male presented with a history of lower abdominal pain with gradually progressive swelling in the right side of the groin. Past surgical history: One year ago, the patient had an uneventful open repair of a hernia with appendectomy along with a polypropylene mesh placement. Physical examination: A physical examination revealed a right-sided inguinal swelling. The swelling was reducible and tender to touch with no scrotal extension. The primary empiric clinical diagnosis was an obstructed hernia.
Ultrasonography (USG): A USG of the right groin indicated a blind-ended tubular appendage (as shown in images A, B, C, and D). Laboratory investigations: A routine lab test was performed to rule out other causes like infections, autoimmune disease, and malignancies. The C-reactive protein level and WBC count were abnormally high. What is the probable diagnosis…
