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An unusual presentation of Meckel diverticulum as strangulated femoral hernia.

Zacharakis E, Papadopoulos V, Athanasiou T, Ziprin P, Zacharakis E

Surgical Unit, General District Hospital of Veroia, Veroia, Macedonia, Greece.

We report an unusual case of a patient with strangulated Meckel diverticulum in a femoral hernia. A 65-year-old woman presented with a nonradiating, constant pain in the right groin with associated nausea and anorexia. Physical examination revealed a tender, irreducible lump in the right groin area. At operation, a hernia sac containing a strangulated Meckel diverticulum was clearly recognized going through the femoral ring. A diverticulectomy was performed, and the femoral ring was closed with a polypropylene plug. No recurrence has been observed during the 3 year follow-up. Strangulated Meckel diverticulum in a femoral hernia remains a challenging diagnosis due to its extremely rare occurrence. Surgical exploration provides definite diagnosis of this rare condition.

Published 7 January 2008 in South Med J, 101(1): 96-8.
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